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Deedglass Health

AI now writes in patient records. Keep a clinician in charge.

AI tools now draft notes, orders and claims in hospital systems. Deedglass holds the important changes until a clinician approves. It checks that the record says what the AI claimed. And it keeps a sealed record for your auditors.

New: Deedglass as an app on your computer

One command opens Deedglass in your browser, on your own computer.1 It shows what your AI tools did, what is waiting for a clinician to approve, and locked records you can check later.1 No Docker, no account, and the records stay on that computer.1

npx deedglass

Paste it into Terminal on a Mac or PowerShell on Windows, then press Enter. Your IT team can help the first time.

See how it works

Deedglass installs on a computer, not a phone.

Or approve an AI’s order in this page. For IT: the 15-minute hospital pilot, npx deedglass health pilot, runs on synthetic data on your own machine, with no Docker. Then read the hospital IT review pack with your security team.

  • Makes no clinical decisions
  • Runs on your own servers, in India if you choose
  • Works with FHIR and other web APIs today
Illustration: a patient record with three entries an AI made. The doctor approved the AI's progress note. A medication order waits for a clinician, who reviews it on their phone and can approve or decline. A blood pressure reading the AI added was read back after saving and matches what it sent. A seal marks the sealed record. An illustration, not a real patient or screen. The phone shows an approval without PHI mode; with it on, the approver sees field names, not values.

“201 Created” doesn’t mean saved as sent.

A record system can answer success and still store something different from what the AI agent sent. Deedglass reads the record back and compares it, line by line.

An illustration with made-up data, not a recorded run. The note wasn’t stored and the author differs, so the check says “Doesn’t match”.4

How it works

One medication order, from draft to sealed record.

Follow one order an AI drafts on a ward round. The same steps apply to notes, allergies, lab orders and claims.

  1. 1Step 1 of 5

    The AI drafts an order.

    On the ward round, an AI scribe listens and drafts a medication order for the patient’s record. Before anything is saved, Deedglass checks it against your hospital’s rules.

    Your hospital sets the rules, starting from a free healthcare set that comes with Deedglass.2

  2. 2Step 2 of 5

    Deedglass holds it.

    Your rules say a change to medicines needs a clinician. So the order waits. Nothing reaches the patient record yet.2

    Orders, medicines, allergies, the problem list and final notes can wait for a clinician. Routine entries, like a blood pressure reading, are saved and then checked, without asking anyone.

  3. 3Step 3 of 5

    The doctor reviews it on their phone.

    The patient’s doctor gets a message by email or in the Deedglass console, or in Slack if you use it. They open the request, see the order and the rule, and approve or decline. Only then is the order saved.3

    If nobody decides in time, the request expires and nothing is saved. Your hospital chooses who approves: another clinician, or the patient’s own doctor if an owner allows it. An AI can never approve its own request.

  4. 4Step 4 of 5

    Deedglass checks the record.

    After saving, Deedglass reads the patient record back and compares it, line by line, with what was approved. If a line is different, it says “Doesn’t match” and names the line.4

    “Saved as approved” means the record says what was approved. It doesn’t mean the order is clinically right. That stays the doctor’s call.

  5. 5Step 5 of 5

    A sealed record for your quality team.

    Each step becomes a sealed record: what was asked, who approved it, when, and what the check found. An auditor can check these records on their own computer, without asking us.5

    The sealed record holds ids and fingerprints, not the patient’s notes.5

The benchmark, misses first

Where the check catches a bad write, and where it doesn’t.

We ran FHIR writes against Medplum, with made-up data, where the server said success and stored something else. Here is the score, and every miss is listed.

Trusting the success reply caught

0of 11

Deedglass caught

4of 11

Deedglass missed, each one listed

7of 11

Of the 11 writes where the server said success but stored something else, trusting the reply caught 0.6 Deedglass caught 4 and missed 7.6 From the committed results file.

See every case and every miss

For India: read the white paper on checking AI actions on ABDM and NHCX.

For EHR, payer and AI vendors: the open AAP-H draft spec for recording AI agent actions as FHIR Provenance and AuditEvent.

New research: do FHIR servers store what they say they stored? We tried HAPI FHIR and Firely setups, and the official ABDM and NHCX examples. Read FHIR write integrity 2026

  • Open sourceEverything Deedglass Health uses today is in the free, open-source core.
  • Self-hostedRuns on your own servers. It sends us nothing by default.
  • Data stays in the countryRun it in India and your records and action history stay on your servers in India.
  • Pilots on synthetic dataA six-week pilot on synthetic data, free.

In India

ABDM, NABH, DPDP and your data, in plain words.

What each one asks, what Deedglass helps you show, and what it doesn’t do.

Deedglass runs on your own servers and sends us nothing by default. If your servers are in India, your records stay in India.5

ABDM consent

What it asks
ABDM’s consent manager is a gateway for digital health data. It makes sure the person agrees to every exchange of their data.7
What Deedglass helps you show
A record of each AI action that goes through Deedglass: which record, under which rule, and who approved it.
What it doesn’t do
Deedglass isn’t part of the ABDM network. It doesn’t check ABDM consent today.2 Your ABDM software still does that.

NABH digital health standards

What it asks
Element DIS.2(d), at the Achievement level, asks for a digital system that “captures the audit trails of each transaction”.8
What Deedglass helps you show
A record for each AI action, with who approved it and what the check found.5
What it doesn’t do
It adds to your HIS audit trail for AI actions. It doesn’t replace it, and it doesn’t see what staff do in the HIS. NABH accredits hospitals, not software.

DPDP Rules: logs for a year

What it asks
The rules ask for logs, monitoring and review, and for logs to be kept for one year. These parts start eighteen months after the rules came out on 13 November 2025, so in May 2027.9
What Deedglass helps you show
Sealed records are never cleared, so they cover the year and more. You choose how long full requests are kept, from 1 to 3,650 days.5 Keep those only as long as you need them.
What it doesn’t do
Consent, notices to patients, breach reports and the encryption of your own data.

Data in India, on your servers

What it asks
CERT-In asks many organisations to keep system logs for a rolling 180 days, within India.10
What Deedglass helps you show
Deedglass runs on your own servers and sends us nothing by default. If your servers are in India, your records stay in India.5
What it doesn’t do
Where your HIS, email or Slack keep data. Without PHI mode, approval emails carry the request through the email service you chose.

These duties belong to the hospital, insurer or developer. Deedglass gives you records you can use as evidence. Using it doesn’t, by itself, meet any law or standard.

ABDM records and NHCX claims

From Deedglass 0.10.0, the FHIR connector reads a write’s profile and what a Bundle holds, and names ABDM health records (OPConsultRecord, DischargeSummaryRecord and six more) and NHCX bundles (ClaimBundle, CoverageEligibilityRequestBundle and four more), in the terms of the NRCeS FHIR guide for ABDM 6.5.0.1112 What a bundle holds counts for more than its label, and a mismatch is reported.11 Under the free india-health pack, a final claim needs two people at any amount, a pre-authorisation of INR 1,00,000 or more needs two, and a smaller one needs one; you set the threshold.11 It reads the profiles; it doesn’t validate records against them.

For healthcare

The same Deedglass, free, with a pilot for hospitals. No prices yet.

  • Clinicians, students and small clinics

    Free, every feature.

  • Hospitals and health-tech teams

    Free self-hosted, plus a free synthetic-data pilot with setup help.

  • Hospital support agreementComing soon

    Named support, help with security reviews, and response targets.

    Talk to us

Design partners

Shape Deedglass Health with us.

A design partner tries Deedglass Health on one real workflow, on test data or on their own servers, and tells us what to change. We’re looking for a few hospitals, health-tech teams and record-system vendors.

  1. 1
    What you need

    An AI tool that writes to a record system, or one you are building. A record system it reaches through FHIR, hosted anywhere, or your own app on Postgres. A server of your own for Deedglass.

  2. 2
    What you do

    Pick one workflow. Name the clinicians who approve. Run it on test data or on your own servers.

  3. 3
    What we do

    Set up the rules with you, check in every week, and fix what gets in your way.

  4. 4
    How you leave

    Switch it off. Your sealed records stay with you, and anyone can check them without us.

You get

  • A direct line to the founder.
  • A say in what Deedglass Health does next.
  • Rules set up for your workflow.
  • Every feature, free while we grow, including the healthcare rules pack and the security review pack.

We ask

  • One real workflow, run on test data or on your own servers.
  • A short written review once a month.
  • Permission to quote what we learn, without your name unless you agree.

Built by Arjun Prabhakaran.Founder, in India

Start a free pilot

Six weeks on one workflow, on synthetic data, free. Every Deedglass feature is free while we grow, so there is nothing to buy afterwards either.

Ask about a pilot

Hospitals and teams that need help with setup, support or a pilot: talk to us.

Prefer email? Write to hello@deedglass.com. Tell us your hospital or company, your HIS or claims system, the AI tools you use, and the one workflow to start with.

Get the healthcare notes

Where did you first hear about Deedglass?

One email when there’s something new to try with record systems. Nothing else. How we handle your email

The six-week design-partner pilot

Synthetic data only, on a test server you choose. We never receive patient data. The pilot is free, setup help included, and there is nothing to buy afterwards. What we set up, what we ask and the plan week by week.

Sources

  1. 1Deedglass 0.15.0 release notes: deedglass app, Deedglass in your browser on this computer · github.com · checked 19 October 2026
  2. 2Deedglass docs: the healthcare-fhir policy pack · docs.deedglass.com · checked 19 October 2026
  3. 3Deedglass docs: Approvals · docs.deedglass.com · checked 19 October 2026
  4. 4Deedglass docs: the FHIR connector · docs.deedglass.com · checked 19 October 2026
  5. 5Deedglass docs: Records and the record chain · docs.deedglass.com · checked 19 October 2026
  6. 6Deedglass source: corpus/fhir/results/latest.json, the FHIR write benchmark run on Medplum · github.com · checked 19 October 2026
  7. 7ABDM: Health Information Exchange and Consent Manager · abdm.gov.in · checked 19 October 2026
  8. 8NABH: Digital Health Standards for Hospitals, 2nd Edition (September 2025) · nabh-portal-live.s3.ap-south-1.amazonaws.com · checked 19 October 2026
  9. 9MeitY: Digital Personal Data Protection Rules, 2025 (G.S.R. 846(E)) · meity.gov.in · checked 19 October 2026
  10. 10CERT-In: Directions under section 70B(6), 28 April 2022 · cert-in.org.in · checked 19 October 2026
  11. 11Deedglass source: docs/healthcare/INDIA.md, ABDM records, NHCX bundles and the india-health pack · github.com · checked 19 October 2026
  12. 12NRCeS: ABDM FHIR implementation guide, NHCX profiles · nrces.in · checked 19 October 2026

Vendor figures are the vendors’ own. Nothing on this page is legal advice. If something here is wrong, write to hello@deedglass.com.