TETRA
Validated · Modular · MOSA-Aligned · AI-Ready

The infrastructure layer
built on
20 years of Healthcare.

TETRA™ is the healthcare data orchestration layer that connects, normalizes, routes, governs, and supervises every byte of health data across every system in the enterprise — EHRs, labs, pharmacies, payers, devices, AI models — through a single, real-time, model-agnostic fabric.

The Orchestration Layer Beneath the AI™
Veteran-Owned Business
CMS-Approved · 140M+ Beneficiaries
🔒 HIPAA & NIST SP 800-171
1.8M+ Transactions/Hour
🛡 Zero-Trust Architecture
MOSA-Compliant

The Thesis

Every AI model in healthcare is only as powerful as the infrastructure layer empowering it. We didn’t build an app. We didn’t build a model. We deliver the orchestration needed to make every app, every model, and every workflow possible.
InPursuit Health · Results Matter™

Live Ecosystem

See it in motion.

People at the top. Enterprise data from the left. Clean intelligence out the right. AI models orbit the engine, plugging in and out without touching the architecture. Click any node to trace its path.

Click any node to trace its path through the orchestration layer
People & Patients
Health AppWellness · Rewards
Symptom Check-InSelf-Report · Intake
AI Health CoachChat · Guidance
Patient PortalRecords · Results
Wearable DataVitals · Activity
Enterprise Sources
EHR SystemsEpic · Cerner · athena
Lab ResultsQuest · LabCorp
Pharmacy / RxSurescripts · NCPDP
Payer ClaimsX12 · 837/835
Wearables / IoMTRPM · Vitals · CGM
HIE / SDOHTEFCA · QHIN · ADT
Data Fabric
Compliance
TETRA
Engine
Intelligence
Application
Enterprise Outputs
Provider QB ViewEmbedded in EHR
Virtual PracticePowered by InPursuit
TelehealthVideo · Async · RPM
Partner APIsREST · GraphQL · FHIR
AnalyticsDashboards · Scorecards
Population HealthStratification · Gaps
CMS ReportingACCESS · MIPS · VBC
AI Model Mesh — Pluggable · Swappable · Unlimited
Dx
Clinical ReasoningDiagnostic AI
NL
Patient NLPConversational
$
HCC / CodingRevenue AI
Px
PredictiveRisk Models
!
Safety OversightSupervisory Agent
E
Edge / DeviceOn-Wearable
No governor. 0 healthcare data transactions — 1.8M per hour in Defense Health Agency production.

The Living Ecosystem

Seamless orchestration between your
existing IT assets and whatever comes next.

TETRA works with every architecture you already have. EHR, claims engine, AI model, IoMT device — it doesn’t replace anything. It makes everything work together. Here’s how the pieces connect.

TETRA AEGIS™ — GOVERNANCE ENVELOPE HIPAA · NIST SP 800-171 · IMMUTABLE AUDIT · ZERO-TRUST · CONSENT ENGINE TETRA Ex™ INGEST · NORMALIZE · CONSENT TETRA Ex™ DELIVER · ROUTE · WRITE-BACK BIDIRECTIONAL · TEFCA / QHIN · CONSENT AT EVERY NODE TETRA™ THE DATA FABRIC SENTINEL™ ACTIVE NORMALIZES · ROUTES · GOVERNS · ORCHESTRATES · 1.8M+ TPS SENTINEL™ EHREpic · Cerner · VistA LabsQuest · LabCorp ClaimsX12 · 837/835 PharmacySurescripts · NCPDP IoMTDevices · RPM AI ModelsAny Vendor · Model HIEsTEFCA · QHIN Public HealthCMS · HHS PayersClaims · Auth Patient AppsConsumer · Wellness Data Fabric Exchange Layer Governance Sentinel Scan

The Fabric

TETRA™ is the foundation. It ingests data from every source — EHRs, labs, claims, devices — normalizes it in real-time, and makes it available as a single, unified data layer. The fabric doesn’t move data between organizations. It makes data usable within one.

The Exchange

TETRA Ex™ is the bidirectional boundary layer. It handles ingest from external sources on the left and delivery + write-back to systems of record on the right. Data flows in, gets normalized by the fabric, then flows back out — updated records, results, care plans — through the same exchange layer.

The Governance Envelope

TETRA Aegis™ wraps everything. Every byte that flows through the fabric or the exchange passes through the governance layer — encrypted, audited, risk-scored. It’s not a feature of TETRA. It’s the perimeter that TETRA operates within.

The Hunter

TETRA Sentinel™ is the intelligence scanning inside the governance envelope. It monitors every AI interaction for hallucination, drift, injection, and PII exposure — operating from an architecturally independent model stack. The AI that watches AI.

The fabric makes data usable. The exchange makes it shareable. The governance layer makes it safe.
The sentinel makes it trustworthy.

What Changes for You

Value that compounds.

Every capability below runs on the same fabric. Each one makes the others more powerful. This is what happens when infrastructure is built right.

Revenue & Payment Enablement

CMS ACCESS Model compliance, VBC outcome tracking, HCC coding intelligence, RAF score capture. The orchestration layer that turns clinical data into reimbursement.

$2.3MProjected — First Partner

Care Coordination

Chronic disease workflows, transitional care, RPM/CCM integration, care gap detection. 80% of outreach runs without human intervention.

32%Fewer Hospitalizations

Predictive Intelligence

Readmission risk alerts 30–60 days before the event. Population health stratification. Provider scorecards that surface action at the point of care.

30–60Days Early Warning

Regulatory Compliance

CMS reporting, MIPS quality measures, BAA management, consent tracking, breach detection. Compliance wrapped around every transaction automatically — not bolted on after the fact.

100%Automated Audit Trail

Clinical Data Liquidity

Structured, normalized, real-time clinical data available to any authorized endpoint. FHIR, HL7v2, X12, flat files — ingested, harmonized, and delivered as a single coherent data layer.

1.8M+Transactions / Hour

Interoperability at Scale

TEFCA-ready, QHIN-aligned, bidirectional exchange across providers, payers, HIEs, and public health agencies. The fabric that makes every organization’s data accessible to every other — with consent at every node.

Developer & AI Partner Infrastructure

APIs, SDKs, ML-ready data pipelines, HIPAA sandbox. AI companies build on TETRA’s fabric — we provide the data, compliance, and last-mile integration they can’t build themselves.

Consumer Engagement

Patient-facing health app with gamified wellness, rewards for healthy behaviors, lab-verified outcomes, and complete clinical data access. The retention engine for value-based care.

$500+Annual Patient Rewards

AI Safety & Supervision

Architecturally independent oversight of every AI interaction. Hallucination detection, drift monitoring, adversarial defense, and containment — operated by TETRA Sentinel™ from a completely separate model stack.

Proven at Scale

Infrastructure validated where it
actually matters.

Every metric below was independently tested in production environments — not internal benchmarks. Validated across federal health systems, Fortune 500 enterprise deployments, and CMS-approved infrastructure.

1.8M+
Transactions / Hour
Sustained throughput. Zero queuing, zero bottlenecks — data arrives before the clinician finishes clicking.
135K
Writes / Second
Surge-load ingestion for population onboarding, open enrollment, and large-scale data migration events.
108K
Queries / Second
Sub-millisecond response against 1B+ cached records. Real-time clinical decision support at any scale.
1B+
Records Cached
Constant read/write speed regardless of cache size. National-scale datasets with zero degradation.
30x
Above Threshold
Federal production-readiness testing required 60K TPS for a perfect score. TETRA exceeded it by 30x.
8B+
Transactions Tested
5-day enterprise stress test on 60-core, 1TB infrastructure. Healthcare-specific workloads at Fortune 500 scale.
95%
Interop Success
Where comparable federal programs achieved partial success at billions in cost — TETRA delivered 95% at 2% of the budget.
Linear Scaling
Add servers, get proportional throughput. No architectural ceiling. Single practice to national infrastructure — same codebase.
Selected over IBM, Oracle, SAP, Informatica & 6 others in formal federal Analysis of Alternatives

Under the Hood

Three things. Done perfectly.

Connect

Ingest and normalize data from any source — FHIR, HL7v2, X12, custom APIs, IoMT streams, flat files. One integration layer for the entire health data ecosystem.

Orchestrate

Route clinical context to the right AI model, the right workflow, the right human — in real-time. Model-agnostic. Vendor-neutral. Architecturally independent.

Govern

Every transaction encrypted, logged, auditable. HIPAA-compliant by default. Consent management, role-based access, and full provenance tracking on every byte.

For the Technical Team

The full stack. One orchestration layer.

Every layer is modular. Every layer is independently scalable. Any component can be extended, replaced, or consumed via API without touching the rest of the stack. This is how the value above gets delivered.

Application
Interfaces
Provider Quarterback View Patient Portal Leadership Scorecards Partner Apps & Marketplace Telehealth Rewards Engine Consumer Health App
Intelligence
AI & Analytics
Multi-Model Orchestration Context-Aware Routing Predictive Analytics HCC / RAF Coding Risk Stratification Population Health NLP / Conversational TETRA Sentinel™ Safety
Exchange
TETRA Ex™
TEFCA / QHIN HIE Mesh Bidirectional Routing Consent Engine Cross-Org Federation Public Health Reporting Payer Exchange
Data Fabric
Connectivity
FHIR R4 HL7v2 EHR Adapters X12 / EDI IoMT / Wearables Pharmacy / NCPDP SDOH Event Streaming Legacy Connectors
Compute
Infrastructure
On-Premise Private Cloud AWS / Azure / GCP Gov Cloud Edge / IoT Container Orchestration Auto-Scaling Linear Scalability
Compliance
Governance
HIPAA FedRAMP SOC 2 FIPS 140-2 AES-256 TLS 1.3 Zero-Trust RBAC / MFA Consent Engine Immutable Audit Trail

TETRA isn’t a product you plug in. It’s the infrastructure layer everything else plugs into.

Get Started

The orchestration layer beneath the AI
matters more than the AI itself.

Explore TETRA as infrastructure for your AI products, as a data fabric for your health system, or as the foundation for your next healthcare application.

Request Architecture Brief → Explore the Ecosystem