CLINICAL AI OPERATING SYSTEM • 65 SPECIALISTS • 55 SPECIALTIES

65 AI Specialists.
One Clinical OS.

SENTINEL governs. HARVEX+ delivers. Intelligence never stops.

Not governance for governance’s sake. A complete AI-native clinical operating system — 65 specialists, 55 medical specialties, 62 multi-agent workflows, 5 regulatory jurisdictions. SENTINEL monitors. HARVEX+ delivers clinical intelligence. Built by a surgeon, operated by AI.

Request Clinical Demo → Explore SENTINEL Explore HARVEX+ WhatsApp
OS · SENTINEL OS · HARVEX+ OS · INTELLIGENCE

Built and operated by AI specialists — not a team. An OS.

65 AI Specialists
55 Medical Specialties
62 Clinical Workflows
5 Regulatory Jurisdictions
EU AI Act CFM 2.454/2026 FDA SaMD UAE DOH LGPD HIPAA ISO 42001
Activate SENTINEL →
SENTINELGOVERNANCE
4 Layers of Guardrails

Elyara doesn’t sell AI.
Elyara runs on AI.

The system NEVER generates medical content from the LLM alone. All clinical information comes from the curated KB or real-time search (marked as uncurated). The LLM organizes, classifies, and presents — it does not invent. No verifiable DOI = claim removed.

🔍
Confidence Gate
Intelligent trust system that automatically scores every claim before delivery. High-confidence responses pass with full citations. Low-confidence responses are blocked and flagged for evidence review.
⚖
Gap Protocol
When the knowledge base has no answer, automated evidence search fills the gap within 24 hours. Real-time retrieval from leading scientific databases, classified and validated before delivery.
✎
Transparency Card
Every response includes: documents used (DOIs), confidence score, indexation date, curation type, and whether human intervention occurred. EU AI Act Art. 13.
☤
Anti-Hallucination
The most robust anti-hallucination protection in healthcare AI. All medical information comes from curated evidence or validated real-time search. The AI organizes — never invents. No verifiable source = claim removed.
✓
Calibrated Confidence
Most competitors hide when they don’t know. Elyara does the opposite — turns limitation into trust signal. “If it tells me when it doesn’t know, I can trust when it does.”
◆ Infrastructure Guardrails
⚙
Elyara Gateway
Comprehensive security validation on every AI call. Authentication, data protection, response audit, and cost tracking. No bypass possible.
■
Automatic Shutdown
Halt any AI process instantly. Platform-level, product-level, or system-wide. Seconds, not minutes. Core governance is the last to stop.
⚠
PII Protection
Every payload scanned. Regime A/B: PII is blocked with HTTP 422. Regime C: warned. Output PII is always masked. Zero tolerance.
◆ Clinical Assurance
◉
Explainability Trail
Why did the AI say this? Every output carries sources, confidence, validation path, and DOI references. Built for the clinician, not the developer.
▲
Drift & Fairness
Continuous monitoring detects silent degradation and demographic bias. AI dermatology failing on dark skin? SENTINEL catches it before it harms patients.
★
Citation Enforcement
Every clinical response requires references from leading scientific databases and clinical guidelines. Responses without verifiable citations are automatically rejected.
Connect HARVEX+ →
SENTINELHARVEX+GOVERNANCE
The OS Team — 65 AI Specialists

65 specialists.
55 specialties. 62 workflows.

Not a chatbot. Not a tool. A fully operational AI team across clinical, regulatory, business, and intelligence domains. Each specialist carries a mission, a simulation score, and a policy pack. Operating 24/7 — zero downtime, zero sick days.

Active — 24/7
SAFETY CLINICAL
Score 0.95 · L1 · Policy: health
Verificação de segurança clínica com detecção de red flags e interações medicamentosas perigosas. Nenhuma saída clínica passa sem passar por ele.
► Activate SENTINEL
Active — L0 Escalation
HUMAN REVIEW GATEWAY
Score 0.97 · L0 · Highest Criticality
Gateway de revisão humana obrigatória para decisões clínicas de alto risco. O único checkpoint que nenhum agente pode bypassar.
► Deploy Gateway
Active — Every Consultation
CLINICAL DOCUMENTATION
Score 0.93 · L1 · Documentation
Geração de documentação clínica estruturada a partir de transcrições e dados do paciente. Templates multi-especialidade, output padronizado sempre.
► Deploy Doc Agent
Active — Routing: 55 Specialists
CLINICAL TRIAGE
Safety · L1 · Entry Point
Triagem clínica com classificação de urgência e encaminhamento automático para a especialidade correta. Classifica em sub-segundo.
► Connect Triage
Monitoring — Cardio Track
CARDIOLOGIA SPECIALIST
Score 0.90 · L1 · 1 of 55 Specialists
Avaliação cardiológica com análise de fatores de risco, hipóteses diagnósticas e correlação clínica baseada em evidência com DOI.
► Deploy Specialist
Monitoring — Endo Track
ENDOCRINOLOGIA SPECIALIST
Score 0.92 · L1 · Evidence-Only
Análise clínica endocrinológica com hipóteses diagnósticas baseadas em evidência. Diabetes, tireoide, metabolismo — DOI obrigatório.
► Deploy Specialist
Active — ANVISA Feed Live
ANVISA WATCHER
Score 0.88 · L1 · Regulatory
Monitoramento de publicações e alertas ANVISA com análise de impacto operacional. Parte da camada de 5 jurisdições regulatórias.
► Activate Watcher
Active — FDA Feed Live
FDA WATCHER
Regulatory · L1 · US Jurisdiction
Monitoramento de publicações FDA: 510(k), PMA, SaMD guidance. Pareado com EMA, MHRA, TGA e ANVISA watchers.
► Activate Watcher
Monitoring — Pipeline Active
LEAD QUALIFICATION
Score 0.85 · L2 · Business
Qualificação automática de leads com scoring e recomendação de próximos passos. Ativado no inbound. Zero esforço manual.
► Connect CRM

55 MEDICAL SPECIALTIES — PARTIAL LIST

CardiologiaEndocrinologiaNeurologiaDermatologiaGinecologiaPediatriaPneumologiaNefrologiaGastroenterologiaOftalmologiaOrtopediaOncologiaInfectologiaCirurgia GeralMedicina de EmergênciaMedicina IntensivaHematologiaGeriatriaPatologiaAnestesiologiaOtorrinolaringologiaNutrologiaCirurgia CardiovascularCirurgia Plástica+ 30 more
✓ 65 specialists — clinical, regulatory, business, intelligence
✓ A2A protocol — agents collaborate, not just act alone
✓ Simulation-validated — every agent has a score before going live
SENTINELINTELLIGENCE
OS MODULE · INTELLIGENCE
Intelligence Division

The OS that watches
the world while you work.

Four intelligence agents running 24/7 — monitoring regulatory bodies, competitive landscape, clinical research, and creator channels. The Morning Brief lands at 7am every day. No analyst needed.

Active — 07:00 Daily
MORNING BRIEF
Daily 07:00 · RSS + Haiku Filter
Digest diário automatizado: notícias regulatórias, movimentos de mercado, publicações clínicas relevantes. Filtrado por Haiku antes de chegar ao CEO.
Delivered at 07:00 every day. Zero misses.
Monitoring — Markets
SCOUT
Startup & VC Intelligence
Monitora startups emergentes, rodadas de captação, movimentos de VCs em health AI. Identifica ameaças e oportunidades antes do mercado.
Weekly competitive landscape. Always on.
Active — Narratives Live
PULSE INTEL
Media & Narrative Monitoring
Rastreia narrativas sobre AI em saúde em mídias globais e especializadas. Identifica trends, riscos de reputação e janelas de posicionamento.
Real-time narrative intelligence.
Active — Market Scan
RADAR
Market Intelligence
Mapeamento de mercado contínuo: reguladores, concorrentes, parceiros, eventos. Alimenta o Morning Brief e as decisões estratégicas do CEO.
The strategic layer that connects all signals.
CREATOR INTEL
Creator & Competitive Track
Monitora criadores de conteúdo health AI, tendências editoriais, benchmarks de engajamento. Informa estratégia de conteúdo e posicionamento de marca.
Content strategy driven by real data.
NIU SYNC
Daily OS Sync · 07:00
Agente de coordenação que sincroniza todos os sinais de inteligência, atualiza o estado do OS e prepara o briefing executivo diário.
The OS heartbeat. Runs every morning without fail.
SENTINEL
SENTINEL — 8 Medical Verticals

Eight verticals.
Documented risks.

SENTINEL monitors AI across 8 medical verticals. Each has specific risks, documented failures, and regulatory requirements. One governance layer for all.

01
Radiology
X-ray, CT, MRI, mammography reading. 75-80% of all FDA-authorized AI devices. Risks: drift with equipment changes, demographic bias.
75-80%
02
Cardiology
ECG, arrhythmias, echo, cardiovascular risk. Risks: false positives in atrial fibrillation, alert fatigue in clinical settings.
~10%
03
Pathology
Digital histopathology, cancer detection. Risks: lab-to-lab variation, staining drift, interpretation inconsistencies.
Growing
04
Ophthalmology
Diabetic retinopathy, glaucoma, AMD screening. Risks: performance varies by ethnicity, image quality dependency.
Stable
05
Dermatology
Melanoma, skin lesions. The most documented case of racial bias in AI — Fitzpatrick V-VI underperformance.
Emergent
06
Oncology
Screening, prognosis, dosimetry. Errors are lethal. Highest regulatory risk category across all jurisdictions.
High risk
07
Emergency
Triage, sepsis, clinical deterioration. Heterogeneous populations, temporal pressure, life-or-death decisions.
Critical
08
Mental Health
NLP in psychiatry, therapeutic chatbots. Extreme privacy requirements, cultural bias, vulnerability of patients.
Emergent
HARVEX+SENTINEL
The Flywheel

Every consultation makes
the system stronger.

HARVEX+ is the entry point. Every real clinical interaction feeds back into the ecosystem — improving agents, filling KB gaps, and calibrating SENTINEL. A virtuous cycle no competitor can replicate.

01
Doctor transcribes in HARVEX+
Real-time streaming generates structured clinical case with red flags and checklist.
↓
02
Case feeds Adaptive Learning
Anonymized dossier becomes learning material. AI generates questions and simulations with DOI references.
↓
03
Pathology confirms or refutes
When the AP report arrives, agents recalibrate. Diagnostic reclassification, conduct adjustment, new referrals.
↓
04
Usage reveals KB gaps
Low-confidence responses automatically trigger evidence retrieval. Gaps are filled within 24h. Each “I don’t know” makes the system stronger.
↓
05
Feedback improves agents
Approved/rejected responses continuously improve AI performance. Automated optimization with measurable monthly improvement on all KPIs.
↓
06
Anonymized data reveals patterns
Gaps by specialty, region, and vertical. Intelligence feeds SENTINEL monitoring and partner insights.
⟳
OS MODULE · REGULATORY INTELLIGENCE
3 Regions. Local regulations. One OS.

Where you operate,
SENTINEL already knows.

Each region has different regulators, different compliance frameworks, different risk tolerance. SENTINEL ships with jurisdiction-specific watchers already running — ANVISA, FDA, EMA, MHRA, DHA. Not generic governance. Local governance.

🇧🇷
LATAM
Brazil-first · LATAM expansion
ANVISA — RDC 657/2022 (SaMD)
PL 2338/2023 — AI regulation in progress
CFM 2.454/2026 — medical AI use
LGPD — patient data protection
ANVISA Watcher Agent — active
🇪🇺
EU & UK
EU AI Act · MHRA · CE marking
EU AI Act (2024/1689) — Art. 72 post-market
MDR/IVDR — medical device regulation
ISO 42001 — AI management systems
GDPR — data protection, health records
EMA + MHRA Watcher Agents — active
🇦🇪
Dubai & MENA
Dubai-first · Gulf expansion
DHA AI Governance Policy — healthcare AI
DOH Abu Dhabi — digital health standards
UAE National AI Strategy 2031
Regulatory sandbox — strategic capital
FDA + DHA Watcher Agents — active

◆ Clinical Trust Layer — Active on Every Output

✓ Anti-Hallucination
No clinical claim without DOI. LLM organizes — never invents.
✓ Transparency Card
DOI + confidence score + curation type on every response. EU AI Act Art. 13.
✓ Kill Switch
Instant halt at platform, product, or system level. Seconds, not minutes.
✓ PII Protection
Every payload scanned. Zero tolerance. HTTP 422 on breach.
✓ Audit Trail
Every AI call logged: agent, cost, latency, response hash, human flag.
✓ A2A Security
Agent-to-agent calls validated. No agent bypasses the Gateway.
BUSINESS MODEL
Products & Revenue

6 revenue streams.
One ecosystem.

SENTINEL Enterprise
Hospitals, AI manufacturers, regulators
Annual contract per monitored device. Post-market surveillance as a service. The product regulators need.
Revenue: per device/year
HARVEX+ Transcription
Doctors, clinics
Real-time streaming transcription. Structured clinical output. The entry point to the ecosystem.
Revenue: SaaS monthly/doctor
HARVEX+ Clinical Intelligence
Premium doctors
Confirmatory + adversarial AI debate. DOI on every claim. Pathological correlation.
Revenue: premium add-on
HARVEX+ Adaptive Learning
Doctors + students + residents
Multi-layer medical education from real cases. AI-guided quizzes with DOI, competency profile, CME certification.
Revenue: SaaS education
HARVEX+ Continuous Care
Clinics, hospitals (B2B)
Navigator Nurse + Nutrition via WhatsApp + wearables. From the office to the patient’s home.
Revenue: per active patient/month
Anonymized Data
Pharma, research, medical societies
Clinical insights by specialty, region, and vertical. Gaps, patterns, and trends from real consultations.
Revenue: licensing
MARKET
Competitive Analysis

Adjacent markets,
not overlapping.

OpenEvidence = Google for doctors. Consensus = Google Scholar with AI. UpToDate = encyclopedia. Elyara/SENTINEL = digital ANVISA for medical AI + complete clinical ecosystem.

OpenEvidence
AI medical search (40% US doctors)
$12B valuation. No governance, no pathology, no education, ad-supported. PhD in finance from Harvard — not a clinician.
Gap: search only, no monitoring, no clinical workflow
Consensus
Academic search (220M papers)
Generic, no healthcare focus, no clinical workflow, no governance layer. Indexes papers but doesn’t audit AI.
Gap: no clinical context, no governance
UpToDate
Static medical reference ($499/yr)
Gold standard for decades. But it doesn’t interact, doesn’t debate, doesn’t monitor AI, doesn’t learn from cases.
Gap: static, no AI monitoring, no debate
Nuance / DAX
Transcription (Microsoft)
Industry leader in clinical transcription. But zero clinical intelligence — only transcribes, doesn’t analyze or govern.
Gap: transcription only, no intelligence
ResearchRabbit
Visual literature mapping
Beautiful paper discovery. No generative AI, no clinical decisions, no patient care, no monitoring.
Gap: discovery only, no clinical action
Elyara / SENTINEL
Health AI Governance + Clinical Ecosystem
Monitoring + transcription + clinical debate + pathological confirmation + education + continuous care. Built by a surgeon at the bedside.
Complete ecosystem. No competitor covers this.
SENTINELGOVERNANCE
Regulatory Strategy

5 jurisdictions.
SENTINEL is the answer.

EU
EU AI Act (2024/1689)
Art. 72: mandatory post-market monitoring for high-risk AI. Medical AI classified as high-risk. SENTINEL is the compliance solution.
→
US
FDA AI/ML Framework
510(k) + PCCP + Good Machine Learning Practice. Independent auditing as a service for manufacturers and hospitals.
→
UAE
DHA AI Governance Policy
Dubai Health Authority standards for healthcare AI. Regulatory sandbox + capital. Dubai-first go-to-market strategy.
→
BR
PL 2338/2023 + ANVISA
AI regulation under construction. Early mover advantage in LATAM. Birthplace of DOC+ and HARVEX+.
→
UK
MHRA AI Framework
UK Medicines & Healthcare products Regulatory Agency. MHRA Watcher Agent monitors publications and impact assessments in real time.
→
SENTINELROADMAP
Timeline to Unicorn

From MVP to $1B.
2026–2029.

OpenEvidence reached $12B doing a fraction: search only, US only, ad-supported. Elyara does the complete ecosystem: governance + transcription + clinical debate + pathological confirmation + education + continuous care. Global-first.

W1-6
Infrastructure + KB
Curated evidence library with thousands of documents across multiple knowledge bases. Foundation layer.
2026
W7-10
Clinical Agents
Clinical AI agents operational — transcription, hypothesis, debate, pathology. The clinical brain comes alive.
2026
W11-14
Adaptive Learning Module
Multi-layer education with pathology module. Every real case becomes a learning opportunity.
2026
W15-18
Continuous Care
Navigator Nurse + wearables + WhatsApp integration. From office to home.
2026
W19-24
SENTINEL MVP
Monitoring of 1 vertical (Radiology). First independent AI auditor for hospitals.
2026
Q4
Go-to-Market Dubai
Pitch DHA + first contracts in the Gulf. Regulatory sandbox + strategic capital.
2026
H1
EU + LATAM Expansion
EU AI Act compliance + ANVISA early mover. Two continents, one governance layer.
2027
H2
Proprietary Models
Fine-tuning with real HARVEX+ clinical data. The moat no competitor can replicate.
2027-28
★
Unicorn
$1B+ valuation. Global health AI governance standard.
2029
✓ Mandatory AI gateway — zero bypass
✓ Instant kill switch at every level
✓ EU AI Act + FDA + DHA + ANVISA ready
✓ Clinical audit on every output
✓ Real clinical data moat (HARVEX+)
✓ Timing: regulation wave demands what Elyara offers
Innovation Pipeline

Five Capabilities That Put Hospitals Ahead of Liability

From adversarial stress testing to a certified AI marketplace — each innovation solves a specific compliance and risk gap hospitals face today.

Q1-Q2 2026
🔴

AI Red Teaming as a Service

Know your model's vulnerabilities before they become liability. Automated adversarial tests — prompt injection, bias probing, hallucination attacks — deliver a written risk report before go-live.

SENTINEL Extension Per model/month
Q1-Q2 2026
🛡️

Shadow AI Detection

Your staff is already using AI you haven't approved. Shadow AI Detection maps every unauthorized model on your network — without reading patient content — so you govern what's actually happening.

New Chief Agent Per endpoint/month
Q2-Q3 2026
📊

Elyara Trust Score

Turn AI safety into a financial asset. The Elyara Trust Score gives every clinical model a live risk index insurers recognize. ETS-certified hospitals negotiate lower malpractice and cyber premiums.

Insurance API Flywheel effect
Q3-Q4 2026
🧪

AI Simulation Sandbox

Deploy AI into clinical reality — before it touches a real patient. Synthetic cohorts calibrated to your demographics expose failure modes and bias before go-live. Clinical confidence, zero patient risk.

RTaaS Pipeline Per simulation
2027
🏪

Certified AI Marketplace

Buy AI that's already passed Elyara's certification. Every listing is red-teamed, bias-tested, and validated for clinical use. Pre-certified solutions, immutable audit trails, zero compliance guesswork.

HARVEX+ Evolution Listing + Commission

Resources & Insights

White papers, case studies, and regulatory guides for AI governance in healthcare.

White Paper

EU AI Act & Medical Devices: Compliance Roadmap 2026

How SENTINEL aligns with MDR, IVDR, and the AI Act for post-market surveillance of clinical AI systems.

Request access →
Case Study

Bias Detection in Dermatology AI: A SENTINEL Perspective

Fitzpatrick V-VI underperformance detected and mitigated using real-time demographic drift monitoring.

Request access →
Video

HARVEX+ Flywheel: 7-Step Clinical Intelligence Cycle

Watch how the complete clinical journey is powered by 65 AI specialists across 55 medical specialties.

Coming soon →

Schedule a Personalized Demo

See how Elyara governs, protects and certifies AI in your healthcare operation — in under 30 minutes.

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