Canadian-built specialty digital twin platform
The modular clinical platform for Canadian healthcare.
Tessera works alongside your EMR/EHR, not against it. Specialty registries, care pathways, patient engagement, service coordination, and pathogen genomics, captured FHIR-native and held to a platform-level data contract.
Built by the team behind PRISM, with a decade of provincial-scale operations.
6
Flagship modules
FHIR R4
Native & SMART on FHIR
🇨🇦
Azure Canada residency
Specialty registries, pathways, and engagement, deployed fast, without disrupting your EMR/EHR roadmap
Unified registries, care pathways, and patient engagement are achievable inside an enterprise EMR/EHR, but only through the kind of deep, complex configuration that carries enterprise-scale cost and timelines. Tessera delivers these as configurable, FHIR-native modules that work alongside your EMR/EHR. You keep the system you already run; Tessera adds the specialty-programme capability at lower implementation cost and on a shorter timeline, without replacing it.
One platform, many programmes
Registries, pathways, engagement, service coordination, and genomics share one FHIR-native foundation. Configure per programme instead of buying a new system for each.
Works with your EMR/EHR
Every module is a SMART on FHIR app. Launch from Epic, Oracle Health (Cerner), or MEDITECH with patient context intact, not another silo to replace.
Canadian by design
Azure Canada data residency, FHIR Provenance audit trails, and PHIPA/PIPA/HIA/PIPEDA built in from the ground up, not retrofitted for the Canadian market.
Tiles in a mosaic
Each module is a SMART on FHIR app that works independently or together, on one shared FHIR-native foundation. Launch from your EMR/EHR or run standalone, the choice is yours.
Focus
Central Hub
One login, one patient search, full context everywhere. The front door to the platform and any SMART on FHIR app.
- Single sign-on (OAuth2 / OIDC)
- Multi-organisation selection
- FHIR-native patient search
- Context-preserving SMART launch
Clinical Registries
Configurable Registry Framework
One FHIR-native registry framework for any clinical programme, configured, not custom-built. Pre-built starter templates included.
- Dynamic FHIR Questionnaire forms
- Built-in scoring & staging (TNM, Gleason, ECOG)
- Group enrollment & outcome tracking
- Pre-built starter templates, configurable
Engage
Patient Portal
Turns patients from passive recipients into active partners. Dual-mode patient self-service and provider review, PHN-native.
- PHN-native patient login
- PROMs / PREMs assessments
- Care-pathway timeline & care team
- Provider mode launched from Focus
Nomics
Pathogen Genomics
A FHIR-native LIMS for genomic surveillance, specimen to surveillance network, with real-time outbreak detection.
- Specimen-to-sequence lab workflow
- Lineage, variant & AMR analysis
- SNP clustering & outbreak detection
- One-click GISAID / PulseNet export
Service Directory
Service & Capacity Coordination
Route patients on data, not memory. Service discovery, capacity, and diversion coordination across your network.
- Canadian four-tier service model
- Real-time capacity & wait times
- Network-wide diversion dashboard
- Multi-factor routing recommendations
CarePlan
Pathway Execution
Turns guidelines on paper into care journeys that actually happen, with automated variance detection rarely found in mid-market tools.
- Evidence-based pathway templates
- Real-time goal & activity tracking
- Automated variance detection
- Closed-loop flag resolution
Pathogen genomics, from specimen to surveillance network
Nomics unifies the entire genomics workflow on one FHIR-native platform, specimen tracking, lineage and AMR analysis, and continuous SNP clustering that can shorten outbreak detection from days to hours, with one-click GISAID and PulseNet Canada export.
Pre-built registry starter templates
Every registry below is a starter template on the same configurable, FHIR-native framework, dynamic Questionnaire forms, built-in scoring and staging, and outcome and variance tracking. Start from a template and configure it to your programme's protocols, instead of building a new system for each.
Don't see your programme? Any starter template can be tailored, or a new one scaffolded, to your clinical needs.
Cardiac Programmes(8 starter templates)
Atrial Fibrillation
Anticoagulation management, stroke prevention, rhythm control tracking
Cardiac Surgery
Pre-op assessment, surgical outcomes, post-op recovery pathways
Heart Failure
Ejection fraction tracking, medication titration, symptom monitoring
Cath Lab
PCI procedures, angiography tracking, stent management
Cardiogenetics
Inherited cardiac conditions, genetic testing, family screening
Cardiac Devices
Pacemaker/ICD implants, remote monitoring, device optimisation
Electrophysiology
EP studies, ablation procedures, arrhythmia mapping and management
Perfusion
Cardiopulmonary bypass, blood conservation, perfusion monitoring
Oncology Programmes(12 starter templates)
Breast Cancer
Screening coordination, treatment protocols, survivorship care
Lung Cancer
Staging, treatment response, pulmonary function tracking
Colorectal Cancer
Colonoscopy surveillance, surgical outcomes, chemotherapy tracking
Prostate Cancer
PSA monitoring, Gleason scoring, active surveillance protocols
Bladder Cancer
Cystoscopy tracking, intravesical therapy, recurrence monitoring
Kidney Cancer
Nephrectomy outcomes, targeted therapy, surveillance imaging
Testicular Cancer
Tumour markers, chemotherapy protocols, fertility preservation
Melanoma
Breslow depth staging, immunotherapy response, dermatology follow-up
Head & Neck Cancer
TNM staging, radiation therapy, swallowing rehabilitation
Leukemia
Blood counts, bone marrow biopsy, remission tracking
Lymphoma
Staging scans, chemotherapy cycles, response assessment
Sarcoma
Tumour grading, surgical margins, adjuvant therapy tracking
Transplant Programmes(3 starter templates)
Transplant Donor
Donor evaluation, organ matching, procurement coordination
Transplant Recipient
Waitlist management, immunosuppression, rejection monitoring
Organ Donor Decisions
Consent tracking, family discussions, organ allocation preferences
Specialty Programmes(5 starter templates)
Trauma
Injury severity scoring, resuscitation protocols, rehab pathways
Stroke
Door-to-needle times, thrombolysis tracking, neuro outcomes
Diabetes (Pediatric)
HbA1c monitoring, insulin management, growth tracking
Chronic Pain
Pain scores, medication management, functional outcomes
Children with Medical Complexity
ICF-based assessments, care coordination, caregiver support tracking
Need a programme that isn't listed? We'll tailor a starter template, or scaffold a new one, to your protocols, on the same framework.
Talk to us about your programmeWho Tessera Is For
Built for mid-market hospitals, regional health programmes, public-health labs, and health authorities. Whether you are mid-implementation, living with a mature enterprise EMR/EHR, or still working from paper and spreadsheets, Tessera adds specialty registry, pathway, and engagement capability alongside the systems you already run, without an enterprise-scale build.
Quality & Programme Directors
"We don't know who's off-pathway until chart review"
→ Real-time variance alerts and configurable registries with automated escalation
Nurse Navigators
"Tracking 200 patients across spreadsheets"
→ Unified pathway dashboard with cohort filtering and task management
CMIOs
"Our EMR/EHR's pathways don't fit our specialty programmes"
→ Configurable registry & pathway templates that work alongside your EMR/EHR
CIOs
"Need FHIR integration, not another data silo"
→ SMART on FHIR native, launches from your EHR with full context
Public Health & Lab Directors
"Specimen tracking, bioinformatics, and reporting live in separate tools"
→ Nomics unifies specimen-to-surveillance with one-click GISAID/PulseNet export
Health Authority Leaders
"We route patients on phone calls and stale capacity data"
→ Network-wide service directory with live capacity, diversion, and routing
How Tessera Compares
Enterprise EMR/EHRs deliver this only at enterprise-scale cost. Most mid-market programmes make do with point tools and spreadsheets, and project-scoped registry tools (the REDCap pattern) centre the project rather than the platform as the unit of authority. Tessera brings the full capability, and a platform-level data contract, to the Canadian mid-market.
TesseraModular FHIR platform | Enterprise EMR/EHREpic / Oracle Health | Point toolsSpreadsheets & one-offs | Project-scoped toolsREDCap pattern | |
|---|---|---|---|---|
| Configurable registries, pathways & engagement | ||||
| Platform-level data contract (stable IDs, coded values, point-in-time) | ||||
| Automated variance detection | ||||
| Works with any FHIR EMR/EHR (Epic, Oracle, MEDITECH) | ||||
| Pathogen genomics & surveillance | ||||
| FHIR R4 native + SMART on FHIR v2 | ||||
| Azure Canada residency & PHIPA/PIPA/HIA | ||||
| Mid-market price & timeline |
A platform-level data contract
Stable definitionIds and linkIds, coded values from authoritative sources, validation at capture, and point-in-time queries by default. The same concept maps to the same identifier across every programme and site, so analysis stays reproducible as the schema evolves. Tessera also supports local AI and embedded predictive models on this governed substrate.
Built for Canadian Healthcare
Data residency, privacy compliance, and interoperability designed for Canada's healthcare landscape from day one.
Data Stays in Canada
Hosted in Azure Canada Central (Toronto) and Canada East (Quebec City). Full data residency with no cross-border transfers.
Provincial Compliance
PHIPA (Ontario), PIPA (BC), HIA (Alberta), and PIPEDA. Complete audit trails via FHIR Provenance with 7-year retention.
Interoperability Ready
FHIR R4 native and SMART on FHIR v2. Aligned with Canada Health Infoway's Pan-Canadian Interoperability Roadmap and CA Core+ (2027).
Enterprise-Ready Architecture
Built by healthcare technologists who understand the unique demands of clinical systems. No shortcuts on security, compliance, or integration.
FHIR R4 Native
CoreBuilt on HL7 FHIR from the ground up. Ready for CA Core+ (2027).
SMART on FHIR
IntegrationLaunches directly from your EHR context. Single sign-on with clinical workflow.
API-First
ExtensibilityRESTful APIs for custom integrations. Webhook support for event-driven workflows.
Multi-Tenancy
SecurityEnterprise-grade isolation with shared infrastructure efficiency.
Integration Endpoints
Full API documentation available upon request.
Meet us at eHealth Canada 2026
See the full platform, then start with a scoped pilot
Book a personalised demo. We'll show you the platform live and scope a low-risk pilot, one registry, one pathway, or one surveillance stream, to prove the model in your environment.
Low-risk entry point. We'll work with your EMR/EHR, your data residency, and your team.