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Biometric

FHIR-native rehabilitation platform

Exercise, prescribed like medication.

Biometric is the execution layer for prescribed movement. Clinicians order rehabilitation, patients complete guided sessions, and adherence and outcomes flow back into the health record, modelled end to end in HL7 FHIR R4.

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  • HL7 FHIR R4
  • SNOMED CT · LOINC
  • Designed for SMART on FHIR
Patient monitoring
This week
Heart rate bpm Steps ×1,000 Blood pressure Workouts MTWTFSS
Clinical device Wearable Self-reported

The problem

Rehabilitation breaks down after the clinic visit

Rehab sits between worlds: clinical intent on one side, real-world execution on the other. Most tools pick one and lose the other.

  • Clinicians prescribe rehab but lack visibility into what actually happens at home.

  • Rehab and fitness apps are data silos that never reach the health record.

  • EMRs were never built for high-frequency execution data: reps, pain, adherence.

  • Hybrid care, clinic plus home, is now the norm, but the tooling has not caught up.

The insight

Rehab is clinical care, not wellness content. So it should speak the same language as the hospital.

Care plans

are prescriptions

Sessions

are administrations

Observations

are outcomes

That language is FHIR. Biometric is built on it, not around it.

How it works

One clinical loop, every step a FHIR resource

From the order to the outcome, each stage produces standard resources any conformant system can read. Nothing is trapped in a proprietary model.

  1. 1

    The clinician prescribes

    A clinician orders exercise the way they order medication: activity type, dose, frequency and duration, with an optional clinical goal. Signing the order records prescriber attestation.

    ServiceRequest Goal Provenance
  2. 2

    A programme realises the order

    A fitness specialist or clinician builds the programme that fulfils the prescription, sequencing exercises with sets, reps and rest.

    CarePlan ActivityDefinition
  3. 3

    Work reaches the patient

    The programme becomes day-by-day assignments in the patient's plan: guided sessions, plus timed actions like a blood-pressure reading.

    Task
  4. 4

    The patient executes

    Guided sessions with per-exercise timers and animated form. Afterwards the patient rates pain, exertion and confidence.

    Procedure Encounter QuestionnaireResponse
  5. 5

    Adherence and outcomes return

    Completed sessions, performance metrics and wearable readings flow back as standard observations the clinician can review and act on.

    Observation AuditEvent

  6. The loop closes: the clinician sees what actually happened and adjusts the plan.

Clinical concept FHIR R4 resource
  • Exercise library and templates ActivityDefinition
  • The prescription (the order) ServiceRequest
  • Clinical target (ROM, pain, capacity) Goal
  • Prescribed programme CarePlan
  • Assignment to the patient Task
  • Completed session Procedure · Encounter
  • Outcomes and metrics Observation
  • Patient-reported outcomes QuestionnaireResponse
  • Prescriber attestation and audit Provenance · AuditEvent
  • Care relationships and access CareTeam · PractitionerRole

Aligned with the HL7 Physical Activity Implementation Guide.

Everyone in their own domain

A translation layer between clinical intent and real exercise

A clinician knows the goal. A fitness specialist knows how to reach it. Biometric lets each specialise, and keeps the medical detail where it belongs.

Physician / HCP

Sets the clinical goal and signs the order.

Sees

The full clinical picture

Fitness specialist

Translates the goal into a real, progressive programme.

Sees

The goal and consented data, not the record

Patient

Executes the guided programme and reports how it felt.

Sees

Their own plan and progress

The privacy boundary is the point. "Restore left-arm strength" reaches the specialist as a goal to design around, not a diagnosis to read. Medical detail stays with the clinical team, and the specialist sees wellness data only where the patient has consented, recorded as a FHIR Consent.

Built today

A working platform, not a slide

These capabilities exist in the product now. We're honest about the line between what's shipped and what's next.

Prescription lifecycle

Order exercise with dose and goals; sign, hold, resume, revoke and complete, with prescriber attestation recorded at every step.

Guided execution & PROMs

Phased sessions with per-exercise timers, animated form and a breathing pacer, then a post-session pain, exertion and confidence check.

Adherence monitoring

Provider dashboards surface the patients who need attention first, with weekly and monthly completion metrics per caseload.

Unified monitoring timeline

Steps, heart rate, blood pressure, sleep and completed workouts on one aligned timeline, with clinically normal reference bands.

Every device on one chart

A blood-pressure cuff, a wearable's heart rate, an ECG trace: disparate readings pulled onto a single timeline, so clinicians don't have to know one device from the next.

Consent & care teams

Access is scoped by care-team membership, and wellness data is shared with each trainer only where the patient has explicitly consented.

On the roadmap: SMART on FHIR launch from the EMR UK GDPR & DCB0129 clinical-safety pack multi-tenancy & billing

Built around real roles

Everyone sees the part of care that's theirs

Four roles, each with a purpose-built surface and access scoped to exactly what they need.

Trusts & commissioners

A measurable, interoperable rehabilitation pathway. Standards-based data with no proprietary lock-in, and adherence you can actually see across a caseload.

Learn more

Clinicians (HCP)

Prescribe and sign exercise like medication, set clinical goals, and review adherence and outcomes on a unified timeline. A prescriber and reviewer, not a personal trainer.

Learn more

Fitness specialists

Build and adjust the programmes that fulfil each order, track client adherence, and see wellness data only where the patient has explicitly consented.

Learn more

Patients

A clear daily plan, guided sessions with timers and animated form, and a simple way to report how it felt. Progress that flows straight back to the care team.

Learn more

Why FHIR-native matters

Interoperable by default, built to integrate, not isolate

Most rehab platforms are fitness-first and healthcare-second, with proprietary data and limited interoperability. We start from the opposite end.

FHIR-native end to end, not wrapped

Every prescription, session and outcome is a standard HL7 FHIR R4 resource, from data model to workflow. Not a proprietary store with a FHIR export bolted on.

Dynamic scheduling

Recurring plans are defined once as rules; sessions are calculated on the fly and materialised only when needed. Plan changes stay clean, with no database noise.

One timeline, clinical and consumer

Clinical-device, wearable and self-reported readings share a single monitoring timeline, each tagged by source so clinicians know how much to trust every point.

Clinician and specialist, cleanly split

The clinical order stays with the clinician; programme design sits with the fitness specialist, gated by granular, per-trainer patient consent.

Interoperability & standards

FHIR R4 on HAPI, SNOMED CT, LOINC and UCUM coding, a secured read-only FHIR facade, and three EMR integration modes including SMART on FHIR.

Explore interoperability

Security & governance

Care-team-scoped access, per-transition provenance, full audit logging and FHIR-native consent, with UK GDPR and DCB0129 artefacts in progress.

See our approach

Bring rehabilitation execution into the health record

We're onboarding a small number of NHS pilot partners. If prescribed movement matters to your service, we'd like to talk.

Request a pilot Book a demo