Splenta

Healthcare - multi-tenant HMS

Run the whole hospital or Clinic
on one platform.

From the front desk to the final bill, Healthcare carries one patient record through OPD, wards, theatre, diagnostics and billing. Local transcription, self-hosted imaging, video consultations and AI note drafting support care within your own deployment.

Healthcareone platform - your view

My clinic - Dr. Osei

  • OPD queue - 6 waiting
  • R. Mehta - ward round due
  • CT chest - ready to read
A nurse moving equipment along a hospital corridor
A hospital corridor and nursing station. Photo is illustrative.

Privacy-focused clinical workflows

Local transcription. Self-hosted care.

Choose where clinical information is processed. Capture speech on the consultation-room device, and run imaging, video consultations and AI note drafting within your own deployment.

Local-device STT

Transcribe in the consultation room.

Scribe processes speech on the local device, keeping captured audio on the appliance. Clinicians review and correct the transcript before saving it to the HMS encounter.

Self-hosted DICOM

Keep medical imaging under your control.

A self-hosted Orthanc PACS stores DICOM studies. HMS brings the imaging viewer into the patient record, with access through the hospital’s radiology workflow.

Self-hosted web conferencing

Consult over your own video service.

Jitsi connects doctor and patient through appointment-linked, token-gated rooms on your deployment. The hospital controls the conferencing infrastructure.

Self-hosted AI + DMN

Draft with AI. Keep decisions reviewable.

A configured self-hosted LLM drafts structured consultation notes for clinician review and sign-off. Broader AI insights governed by DMN decision tables are planned for HMS.

Local capture and hospital storage are separate steps: reviewed transcripts can be saved to HMS and used for note drafting within the deployment. These services require local setup; end-to-end video recording and transcription remain under development.

The whole hospital

Care across every department.

Every role opens the same platform to its own view. These are the real workbenches - one short line each, no jargon.

Front desk

Patient Registry

One patient record, created once, that every department shares.

Front desk

Appointments & OPD

Book against real doctor availability and issue queue tokens at the desk.

Clinical

Clinical Care

Notes, vitals and e-prescriptions on the same chart the whole team sees.

Ward

Nursing

Shift rosters and medication rounds charted in place, so handover carries forward.

Ward

Ward & Beds

Rooms, beds and occupancy on one live status board.

Theatre

Surgery / OT

Theatre scheduling with anaesthesia records, staff, implants and intra-op events.

Diagnostics

Diagnostics & Lab

Order tests, capture results by parameter, and return them to the chart.

Imaging

Radiology

Open scans in a built-in viewer, right beside the patient record.

Pharmacy

Pharmacy

Prescriptions and medication administration, tied to each patient.

Finance

Billing

OPD bills, patient bills, bill items and room charges on the same record.

Admin

Admin

Set up departments, staff, rooms and services for your hospital.

Platform

Superadmin

Provision new hospitals, tenant admins and subscription plans.

The whole healthcare loop

The patient journey, connected.

Every step writes to the same tenant-scoped record, so each role picks up exactly where the last left off - no re-keying between systems.

01

Registration

Patient created once

02

OPD & queue

Token, consult

03

Admission

Bed assigned

04

Surgery / OT

Theatre + anaesthesia

05

Diagnostics

Lab + radiology

06

Discharge

Summary + clearance

07

Billing

Bills settle

Continuity of care

Keep the patient’s story with every care team.

A single encounter carries the patient from the front desk to the ward and back out. Registration, OPD, admission, theatre, diagnostics, discharge and billing all write to the same tenant-scoped record - so each role picks up where the last left off, with no re-keying between systems.
A warmly lit healthcare ward corridorWard
A healthcare ward corridor. Illustrative photo.

Self-hosted DICOM imaging

Your imaging infrastructure. Inside the patient record.

Host DICOM studies in your own Orthanc PACS and view them beside the patient chart. HMS connects the radiology workflow to that imaging service, bringing scans into the clinical record while keeping the infrastructure under your control.
  • View CT, MR, X-ray and ultrasound studies in-product
  • Self-hosted Orthanc PACS connected through HMS
  • The scan sits beside the patient chart
A cool blue-lit healthcare corridorRadiology
A healthcare corridor. Illustrative photo.

Multi-tenant SaaS

Manage your hospital network.

Healthcare runs as multi-tenant SaaS. Every record lives inside its hospital's tenant, isolated by design, and access is decided by role. One system serves many hospitals without their data ever touching.

  • Each hospital's data is sealed inside its own tenant - no request crosses the boundary.
  • Role-based access for admin, doctor, nurse, staff and patient.
  • One deployment serves many hospitals - nothing shared to untangle.

Subscription plans - seeded per tenant (INR / month)

Basic

Single-site clinic - core OPD and records

₹2,500 / mo

Professionalcommon

IPD, theatre, diagnostics and imaging

₹5,000 / mo

Enterprise

Multi-site chain - full operations

₹15,000 / mo

Healthcare operations

One platform across the patient journey.

Healthcare brings hospital and clinic operations, imaging and tenant isolation into one cloud-native platform for private healthcare groups in India and emerging markets.

HealthcareEnterprise EHRsIndia-market HIS
What it isCloud-native, tenant-per-hospital operations platformEpic, Oracle Health, MEDITECH - certified enterprise suitesPracto/Insta, MocDoc, KareXpert - India HIS suites
Operational breadthOPD, IPD, theatre, diagnostics, radiology, billing - one loopDeep, broad clinical suites at scaleBroad and price-competitive across the lifecycle
Built-in imagingOHIF + Orthanc DICOM viewer inside the productIntegrates with enterprise PACS vendorsUsually a separate PACS integration
Deployment & costLight cloud SaaS; INR tiers from Basic to EnterpriseHeavy, costly, long implementationsAffordable, regionally tuned
Revenue cycle / claimsBilling-support only - no claims adjudicationFull revenue-cycle and claims enginesOften includes local claims / insurance flows

Under the hood

Governed by role, sealed by tenant.

The story above is the plain version. For evaluators, here is how it actually holds together - the frontend is React, the backend Spring Boot on Java 17 and PostgreSQL.

Multi-tenant isolation

Every entity carries a non-null tenant_id and a TenantContext is resolved once per request, so every read is scoped to one healthcare. No context means no rows - the boundary fails closed.

TenantContext :: applied on every readThreadLocal
// resolved once per request, from the token
TenantContext.set(tenantId)
// every entity extends the tenant base
class Patient extends BaseEntity { tenant_id NOT NULL }
class Admission extends BaseEntity { tenant_id NOT NULL }
// and every read is filtered by it
SELECT * FROM patients
WHERE tenant_id = :ctx
// no ctx => no rows. The boundary fails closed.

Flexible, dual-mode auth

A hospital can run Hospital on its own login, or federate it into the Splenta identity fabric through ICE. Either way, access is scoped per tenant and decided by role.

mode A - standalone (default)

Built-in login with legacy JWT - short-lived access token plus refresh. Nothing external required.

mode B - federated

Resource-server mode validates ICE-minted tokens - aud = hms-api, scopes hms:* - for single sign-on across the family.

role-based, per tenant
  • superadmin
  • admin
  • doctor
  • nurse
  • staff
  • patient

Built-in medical imaging

Healthcare proxies its radiology API to an Orthanc PACS over DICOMweb and launches a vendored OHIF viewer inside the product - windowing, MPR, 3D and measurements next to the chart. Schematic facade below, no real study.

Radiology / OHIF viewerOrthanc PACS - DICOMweb

Studies - MRN 40118

  • CT chest w/o contrastCT

    80 img

  • MRI brainMR

    144 img

  • Chest X-ray PAXR

    2 img

  • US abdomenUS

    36 img

WindowPanZoomMeasureMPR3DAnnotate
42.6 mmW 1500 / L -600AXIAL - SLICE 24 / 80MPRDICOMweb
slice
24 / 80

A boundary that fails closed

Healthcare owns the clinical and operational record - not the warehousing, purchasing ledger or finance books. Those flows return "unavailable" until a real adapter is wired in. A blank you can trust beats a number you can't.

  • Pharmacy stockWMS adapter integration

    Drug catalog, stock levels and pharmacy billing need a warehousing system of record.

    unavailable
  • ProcurementSCM adapter integration

    Purchase orders and supplier flows belong to a procurement system of record.

    unavailable
  • Accounting & financeFMS adapter integration

    Ledger and financial truth belong to a finance system - billing-support only here.

    unavailable

Use cases

See Healthcare run with agents.

See how Arin, PECO and Semorel turn healthcare context into governed, auditable action.

Healthcare use cases ›

Healthcare walkthrough

Connect care across your hospital or clinic.