SMART decision support enablement

Design, deploy, and manage SMART-on-FHIR apps and CDS services

Pontegra helps healthcare organisations deliver clinical decision support through SMART-on-FHIR applications and CDS Hooks–compliant services.

We enable guideline-based recommendations, operational safety controls, localisation, and feedback loops, so decision support works in real clinical workflows, not in isolated dashboards.

Powered by: KronIQ (pathways) + onfhir-cds (CDS services) + Repofyr (FHIR repository/API) + Ignifyr (HL7 FHIR® integration).

What you can deliver

Clinician-facing SMART-on-FHIR apps

  • EHR-embedded apps launched in patient context
  • Task-focused workflows (screening, monitoring, escalation, referral)
  • Shared care plan views and structured data capture where needed

CDS Hooks services (guidance that appears at the right moment)

  • “Cards” and suggestions triggered by clinical workflow events
  • Prefetch-based context retrieval for fast, relevant recommendations
  • Configurable rules and content that can be adapted per site/region

Patient empowerment experiences (when required)

  • Patient-facing SMART apps using reusable UI components and reference designs
  • Support for self-monitoring, education, and care plan adherence

AI-enabled decision support for prediction and simulation in workflow

Many organisations are building predictive models (risk scores, deterioration prediction, readmission risk) but struggle to operationalize them inside the EHR in a safe, governed way.

Pontegra helps integrate AI capabilities into clinical workflow by wrapping prediction and simulation services as decision support services:

AI prediction integration (risk scoring)

  • Invoke a model service to generate a risk score or predicted outcome
  • Return results to clinicians via CDS Hooks cards and/or inside a SMART app
  • Capture “why this fired” with traceable context (model version, timestamp, input summary)

Simulation / “what-if” support

  • Expose simulation services (e.g., projected outcomes under different interventions) behind a controlled interface
  • Present outputs as guidance, not opaque scores—linked to next actions and clinical reasoning

Governance-minded operationalization

  • Ensure each model invocation is logged and traceable
  • Support review and iteration (feedback capture, rule tuning, threshold calibration)
  • Enable site-by-site configuration and language localization

How Pontegra makes this practical

Configurable content and localization

  • Site-specific medical terminologies, thresholds, formularies, pathways, and escalation rules
  • Multilingual content templates and consistent rendering of guidance

Secure operations patterns

  • Controlled access to FHIR data sources
  • Safe output patterns and audit-friendly run/event logging
  • Compatibility with secure environments (SPE/TRE-style deployments)

Feedback loops to improve quality

  • Track when guidance is shown, accepted, dismissed, or overridden by practitioners
  • Feed insights back into rule tuning, pathway refinement, and model recalibration

Where this fits

Hospitals and EHR programs

  • embedded decision support for guideline adherence and safety checks
  • structured follow-up pathways (e.g., diabetes monitoring, CKD surveillance)

National / regional digital health programs

  • configurable guideline packages and localization
  • consistent operational controls and quality management

AI teams who need clinical adoption

  • model integration into daily clinical workflows (not just AI notebooks)
  • controlled deployment patterns and traceability