Clinical
Records that follow the encounter
- ICD-11 coding on clinical output
- Uganda Clinical Guidelines in workflow
- Hospital registration & OPD foundation
- Insurance claim copilotAdvisory
Health management platform · Kampala, Uganda
Intelligence for the entire care journey.
SYNAPSE is the intelligence, clinical orchestration and interoperability layer that can run a facility, sit beside an existing EMR, or connect fragmented systems — without pretending national integrations are live.
Preview APK for staff & pharmacy roles · sideload on Android · updates via Expo builds
DRRNPHLT
Built with clinicians and pharmacists in Kampala
- ICD-11 2026 (development)
- DPPA 2019 aligned
- Postgres RLS
- Clinician-in-the-loop AI
- Audit logging
- FHIR flagship (development)
3
Customer-facing products
Sepsis + Lab + Pharm
Flagship connected journey
In development
Synapse Lab
Operational candidate
Synapse Pharm
Clinical operating layer
Mulago General · Tenant dashboard
OPD & encounters
Queue → consult → bill
Signed notes, ICD-11, fee schedules
Lab
Order → result → verify
Orders, results, and verification workflows
Pharmacy & revenue
FEFO · dispense · receipts
Batch stock, dispense bridge, and receipts
AI suggestions require clinician review. They are never auto-submitted to the chart.
One system
From registration to follow-up without restarting the story
Connected journey
One patient. One identity. One record.
Registration, pathway, laboratory, prescription, pharmacy and follow-up share Synapse Core identity and Synapse Exchange events. This is the journey we are making real — not a list of two hundred features.
- 01
Patient
- 02
Registration
- 03
Clinical care
- 04
Pathway
- 05
Lab / Imaging
- 06
Diagnosis
- 07
Prescription
- 08
Pharmacy
- 09
Follow-up
- 10
Public health
Architecture
Products on a shared kernel
Patients / Professionals / Facilities
MODE 1 Native — OS · Lab · Pharm · App
MODE 2 Overlay — eAFYA · UgandaEMR · ALIS · other EMRs
MODE 3 Network — HIE / labs / pharmacies / national systems
SYNAPSE EXCHANGE — adapters, never undocumented production APIs
SYNAPSE INTELLIGENCE — reasoning, ICD-11, pathways, claims
SYNAPSE CORE — identity, consent, audit, timeline
Longitudinal patient record · FHIR representation
Deploy
Native, overlay, or network
SYNAPSE is the intelligence, clinical orchestration and interoperability layer that can either run a hospital itself or make the hospital's existing systems substantially smarter. Do not claim live eAFYA, ALIS, UgandaEMR or Ministry partnerships. Simulation adapters are labelled simulation.
Mode native
Native
SYNAPSE runs the facility
Synapse OS, Lab, Pharm and App operate the care journey on Synapse Core identity, consent and audit.
Synapse OS · Synapse Lab · Synapse Pharm · Synapse App
Mode overlay
Overlay
Keep the EMR. Connect SYNAPSE.
SYNAPSE sits beside eAFYA, UgandaEMR, ClinicMaster, ALIS or another system and adds identity, intelligence, ICD-11, pathways, insurance and longitudinal records.
eAFYA · UgandaEMR · ALIS · ClinicMaster · other EMRs
Mode network
Network
Coordinate many facilities
Synapse Exchange connects hospitals, labs, pharmacies and national systems through standards-based adapters — not a claim of a live national HIE.
HIE / registries · laboratories · pharmacies · national systems
Truth
Products versus platform capabilities
Products
What customers use
Synapse OS
PartialHospital and facility operating system for registration, consultation, and connected care.
Doctor/encounter/nursing/lab/imaging specialty screens are largely Coming Soon. Registration + OPD queue are the operational slice.
Synapse Pharm
Operational candidatePharmacy operations, FEFO inventory, and prescription dispensing.
Offline checkout is disabled until durable encrypted persistence is proven. complete_pharmacy_sale still needs live isolation review.
Synapse App
PartialPatient, professional, and mobile-workforce continuity.
Mostly reads. Offline is a response cache, not a local authority.
Platform capabilities
What powers the products
Synapse Core
PartialShared identity, tenancy, authorization, consent, and audit.
Synapse Exchange
In developmentInteroperability and event-exchange layer.
Synapse Lab
In developmentLaboratory workflow integrated with clinical care and the patient timeline.
Synapse Pathways
In developmentGuideline-driven clinical workflows with clinician override.
Synapse Intelligence
In developmentGoverned AI and analytics. Clinician remains in control.
Synapse Imaging
RoadmapImaging orders and reports when the module is built.
Synapse Public Health
In developmentGoverned aggregate export to DHIS2 (simulation-first).
Synapse Edge
RoadmapOffline/local facility continuity.
Who it's for
Four ways into Synapse
Facilities apply for onboarding. People self-register. One login can later link staff membership at a hospital or pharmacy without losing personal health features.
Hospitals & clinics
Onboard your facility
Apply for a pilot. We provision your subdomain, admin account, departments, and staff invites.
Apply for hospital pilotPharmacies
Onboard your pharmacy
Inventory, FEFO batches, POS receipts, and refill requests, live at pharm.synapseos.tech.
Apply for pharmacyEveryday users
Your personal health account
Track visits, medications, lab results, habits, and telemedicine. Free to start.
Create health accountHealth professionals
Join as a verified clinician
Offer telemedicine and consultancy, access clinical tools, and use the same personal dashboard.
Join as professional
SynapseOSAlready have an account? Sign in · Consumer app at app.synapseos.tech
Context
Why hospitals need a single clinical record
Fragmented paper files, separate billing spreadsheets, and pharmacy stock kept in isolation make continuity of care and revenue collection harder. SynapseOS connects encounters, orders, results, dispense, and claims in one audit-backed system.Uganda doctor-to-population ratio is well below WHO recommendations (MOH / WHO public data).
Continuity
One person identity across OPD, laboratory, pharmacy, and follow-up — when those modules are actually connected.
Revenue
Pharmacy POS is the deepest commercial workflow. Hospital charge capture remains partial.
Reporting
Public-health and DHIS2 exports are roadmap. We do not invent national coverage numbers.
Products
Three products on one platform
H
Hospitals & clinics
SynapseOS
Facility care delivery. Registration and OPD triage exist today; specialty modules are being completed through connected journeys rather than empty screens.
Apply for deployment →P
Pharmacies
Synapse Pharm
Inventory, FEFO batching, POS, supplier orders, and patient refill requests. Hosted at pharm.synapseos.tech or a custom domain.
Start free trial →A
Patients
Synapse App
Android app for appointments, lab results, telemedicine intake, and health bulletins when connected to a Synapse-network facility.
Download or join waitlist →Synapse Pharm
Pharmacy POS with expiry-aware inventory
POS with printed receipts, FEFO batch inventory, sales reporting, and staff roles — built for Ugandan pharmacies. Register self-serve and start selling the same day. Every plan starts with a 14-day free trial, no card required.
Pharm Monthly
UGX 20,000/month
Full product, one flat monthly price.
- ✓POS with printed receipts
- ✓FEFO expiry-aware batch inventory
- ✓Sales reporting
- ✓Staff roles & cashier sessions
Save UGX 8,000
Pharm Quarterly
UGX 52,000/quarter
≈ UGX 17,333 per month
One payment per quarter.
- ✓POS with printed receipts
- ✓FEFO expiry-aware batch inventory
- ✓Sales reporting
- ✓Staff roles & cashier sessions
Save UGX 40,000
Pharm Yearly
UGX 200,000/year
≈ UGX 16,667 per month
One payment per year.
- ✓POS with printed receipts
- ✓FEFO expiry-aware batch inventory
- ✓Sales reporting
- ✓Staff roles & cashier sessions
Same product on every plan — quarterly and yearly only change how often you pay. Sign in or register at pharm.synapseos.tech.
Deployment
How a hospital goes live
- 1
Step 1 of 4
Apply & scope
Tell us your facility type, departments, and current records setup. We confirm fit and assign a pilot contact.
- 2
Step 2 of 4
Provision tenant
We create your hospital subdomain, roles, and department modules. Staff accounts are issued with activation email.
- 3
Step 3 of 4
Migrate & train
Import patients, stock, or legacy exports where available. On-site or remote training for clinical and admin leads.
- 4
Step 4 of 4
Go live & support
Phased rollout by ward or department. Email and priority support on paid tiers; audit logs from day one.
Diagnostics & pathways
Synapse Lab and clinician-controlled pathways
Synapse Lab
Order → Specimen → Verify → Record
The first complete laboratory slice is in development. AI does not release results. SYNAPSE is designed to work with national LIS/LIMS efforts such as ALIS — it does not claim to replace them.
Synapse Pathways
Guideline → Pathway → Care plan
The first demo pathway is adult suspected sepsis. Clinicians can override every recommendation. Overrides are learning data only after governance — they never silently retrain clinical AI.
Capabilities
What the platform includes
Select an area to see implemented workflows. AI features require clinician review before clinical decisions.
Advisory support — clinician remains in control
Experimental differential-diagnosis assistance can cite guidelines. Suggestions never become signed notes, never release laboratory results, and never dispense medication.
Advisory
AI does not diagnose or treat autonomously
Override
Clinician confirmation is required
Prototype
Safety, provenance, and evaluation are incomplete
Audit
Sensitive actions belong in the audit trail
Key Capabilities
- ✓Guideline-aware suggestions where the copilot is enabled
- ✓No silent write-back into signed clinical documentation
- ✓Uncertainty must remain visible
- ✓Not a substitute for qualified clinical judgement
Modules
Department modules
Enable only the modules your facility needs. Each module ships with role permissions and department-specific forms.
OPD
OPD / Consultation
Queue, consultation notes, fee schedules
A&E
Emergency A&E
ESI triage, START, resuscitation records
MAT
Maternity
ANC, partograph, delivery, PMTCT, MPDSR
PAE
Paediatrics
WHO growth charts, immunisation, CMAM
HIV
HIV / ART
Enrolment, regimens, viral load tracking
ICU
ICU
Flowsheets, SOFA/APACHE, sepsis bundle
THR
Surgery / Theatre
WHO SSC checklist, intra-op, PACU
CDO
Cardiology
ECG workflow, TIMI, GRACE, CHA₂DS₂-VASc
Reporting
National and donor reporting
Encounters, outcomes, and programme indicators can be mapped to SDG goals and exported for DHIS2. Facilities configure which indicators apply; exports run on a schedule with anonymisation rules, not sample dashboard percentages.
- Nightly DHIS2-compatible export pipeline (tenant-configured)
- SDG command centre: drill-down from aggregate goals to underlying encounters
- MPDSR and surveillance hooks for maternal death and outbreak signals
Pricing
Plans (UGX)
Prices shown on the marketing site; confirm current rates with sales before procurement.
Trial
Free30 days
Evaluate the platform with one department and a small staff group.
- ✓1 department
- ✓Up to 10 staff
- ✓Core AI diagnosis
- ✓Community support
Starter
UGX 250,000/month
Small clinics and health centres.
- ✓3 departments
- ✓Up to 25 staff
- ✓Full AI diagnosis
- ✓Basic insurance copilot
- ✓Email support
Common choice
Professional
UGX 750,000/month
Hospitals running multiple departments.
- ✓All departments
- ✓Up to 100 staff
- ✓AI + UCG-grounded RAG
- ✓Full insurance copilot
- ✓API access
- ✓Custom domain
- ✓Priority support
Enterprise
Custompricing
Hospital networks and referral centres.
- ✓Unlimited departments & staff
- ✓Dedicated customer success
- ✓On-premise option
- ✓SLA 99.9%
- ✓SAML / SSO
Demo
Try the diagnosis assistant
Enter symptoms below. This demo calls the same API used in development; results are for illustration and not a substitute for clinical judgement.
AI clinical decision support
Uganda Clinical Guidelines · East Africa endemic disease priors
Live demo
Decision support only, not a diagnosis. A qualified clinician must confirm all clinical decisions.
Pilot programme
What hospitals evaluate in a pilot
We do not publish anonymous quotes or unaudited performance percentages on this page. During pilot, facilities measure outcomes that matter to them, typically documentation time, claim turnaround, stock accuracy, and staff adoption.
Workflow fit per department (OPD, ward, lab, pharmacy)
Data migration from spreadsheets or legacy exports
Staff training and role assignment
Insurance claim submission and rejection handling
Offline behaviour on your network
Export to DHIS2 / internal dashboards
Team
People building SynapseOS
Nathan David
Co-founder & clinical lead
Clinical workflows, scoring tools, and guideline alignment.
Comparison
SynapseOS vs common alternatives
Synapse cells are computed from capability gates. A cell cannot become Yes because someone edited this page. Live evidence is still required before GREEN.
| Feature | SynapseOS | OpenMRS | Slade360 | Paper |
|---|---|---|---|---|
| AI differential diagnosis (UCG-grounded) | Partial | No | No | No |
| Offline-first with sync | Partial | Partial | No | Yes |
| FHIR R4 resources | Partial | Yes | Partial | No |
| Insurance claim copilot | Partial | No | Partial | No |
| ICD-11 coding | Partial | Partial | Partial | No |
| Uganda Clinical Guidelines in workflow | Partial | No | Yes | No |
| Patient / professional mobile app | Partial | No | No | No |
| Integrated pharmacy POS | Partial | No | Yes | No |
| DHIS2 export pipeline | Partial | No | No | No |
| Public health aggregate export capability | Partial | No | No | No |
| Longitudinal patient timeline | Partial | Partial | Partial | No |
| Clinical pathway engine | Partial | No | No | No |
| Explainable clinical reasoning | Partial | No | No | No |
| Insurance rejection prevention | Partial | No | Partial | No |
| Synthetic clinical simulation | Partial | No | No | No |
| Cross-system patient identity | Partial | Partial | No | No |
| Facility operations observability | Partial | No | No | No |
Standards
Standards & integrations
FHIR R4
DEVELOPMENT — Flagship resource mappers and tenant-authorized HTTP handlers exist. CapabilityStatement lists only implemented types.
ICD-11
DEVELOPMENT — Terminology service targets WHO ICD-11 MMS 2026-01 with a local cache. AI proposals are terms, not codes.
HL7 / ASTM instruments
DEVELOPMENT — Parsers exist in @synapse/interop. Instrument ingest route is a mock success.
DHIS2
DEVELOPMENT — Outbound aggregate DataValueSet pipeline with simulation adapter and privacy gate.
Security
How patient data is protected
Row-level security
Tenant isolation on clinical tables via Postgres RLS
Audit trail
Actor, timestamp, and action logged for sensitive operations
TLS in transit
HTTPS for web, API, and admin surfaces
Offline-capable
Durable offline checkout is not claimed. Edge architecture is documented as roadmap.
Role-based access
Doctor, nurse, pharmacist, billing, and admin roles
Session revocation
Password reset and logout invalidate server-side sessions
H
Hospital or clinic
Request pilot access. We respond with scope, timeline, and pricing for your facility.
Apply for pilotUpdates
Product updates
Release notes and pilot openings. Unsubscribe any time.