TenaOS is the AI-native clinical OS that lets any primary care clinic run a fully digital practice.
No Software Team! No Internet! No Code! Built on open clinical standards, grounded in WHO and MSF guidelines, and designed to keep every patient record inside your facility.
TenaOS replaces months of EMR configuration, clinical documentation, decision support, patient education, and public health reporting with a single offline system, configured in plain language. Standards-based and ready to plug into national health information infrastructure.
TenaOS is a clinical-grade AI system designed for real-world care delivery, built around frontline workflows, safety requirements, and evidence-based practice.
Built on FHIR R4 and REST API standards. TenaOS connects to existing health information infrastructure without proprietary connectors, enabling integration with national EMRs and referral networks.
Differential rankings, drug guidance, and clinical protocols are configurable to local disease burden, formulary, and care level. TenaOS does not impose a single global model on diverse clinical environments.
The complete codebase is publicly available, auditable, and free to deploy. Ministries of Health and implementing partners retain full ownership with no licensing fees and no vendor dependency.
TenaOS is built as four tightly integrated layers. A trusted open-source EMR core, an on-device AI agent that turns plain language into clinical action, a standards layer that codes every record to international medical terminologies, and a clinical safety middleware that keeps every AI output reviewable by a clinician.
TenaOS is open and inspectable.
The model card and source code are public.
Most digital health pilots in low-resource settings never reach sustainable scale. The reason isn't technology, it's assumption. Every existing solution assumes the clinic has a software team, an internet connection, and a budget for implementation. Most don't.
Setting up a digital clinic means weeks of form configuration, terminology mapping, and workflow design that only specialists can do. Most facilities cannot afford that team, so the system never gets built, or never gets used.
When clinicians have to type structured notes, code diagnoses, and fill registers themselves, paper wins. The clinic might have an EMR, but the records that matter still live in a notebook on a shelf.
A single clinical officer is often expected to manage malaria, TB, hypertension, pregnancy, and pediatric emergencies in one morning, with no specialist on call and no protocol library at the bedside.
Even when records are captured, they aren't standardized, queryable, or visible to the district. Facilities cannot report. Ministries cannot see. Outbreaks are spotted late, if at all.
TenaOS replaces four separate systems, and the implementation team that usually comes with each one, with a single conversational layer that runs offline inside the clinic.
Describe the forms, registers, and workflows your clinic needs. TenaOS builds them, codes every field to international medical standards, and publishes them into the EMR. The implementation team is replaced by a conversation.
Speak the encounter in your language. TenaOS writes the note, codes the diagnoses and medications, and saves the structured record. No typing, no transcription, no lost detail.
A specialist-grade second opinion at the point of care, and a clear care summary in the patient's own language at the end of the visit. Both grounded in WHO and MSF guidelines. Both reviewable by the clinician before they reach the chart or the patient.
Ask in plain language. TenaOS turns the question into a standards-based query against your records and returns the answer. Outbreak signals, program indicators, referral patterns, monthly returns, all without a data team.
TenaOS is built to be used, not just installed. It fits the clinic where it lives, runs on the hardware the clinic already owns, and connects cleanly to the health system around it.
A one-time setup, then a recurring rhythm of care.
A clinical lead describes, in plain language, the consultations, registers, and reports the clinic needs. TenaOS builds them, codes every field, and publishes them into the EMR. No specialist required.
The clinician sees the patient and speaks the encounter. TenaOS writes the structured note, surfaces evidence-grounded guidance from WHO and MSF, and waits for confirmation before anything is saved.
TenaOS generates a care summary in the patient's own language: what they have, what to do, what medicines to take, and when to come back. The clinician reviews and prints it.
Designed for the realities of primary care, not the assumptions of cloud software.
A single small server lives in the clinic. It holds the EMR, the AI agent, and the guideline knowledge base. The internet is not required, before, during, or after deployment.
Clinicians work from whatever they have: a laptop, an Android tablet, or a phone. Every device connects to the local server over the clinic's own network.
TenaOS is designed for unreliable power and intermittent connectivity. It restarts cleanly after outages, syncs when networks come back, and never loses a patient record.
Clinic data that the district and the ministry can actually use.
Every observation is coded to international medical standards as it is captured. The records are queryable, exportable, and ready for reporting from the very first visit.
Facility managers and district officers ask their questions in plain language. TenaOS returns the answer from the actual clinical records, not from estimates or paper registers.
FHIR R4 export and DHIS2-compatible reporting bridge the clinic to the national health information system whenever connectivity is available, without changing how the clinic works.
TenaOS replaces the entire traditional EMR rollout, the implementation team, the cloud dependency, and the months of configuration, with a single conversational system that runs inside your clinic.
No cloud. No external API. No privacy exposure. TenaOS operates entirely within the four walls of your facility, clinical intelligence without surveillance.
All AI computation happens locally on facility hardware. No data ever leaves the machine.
Patient data stays inside your own infrastructure, whether OpenMRS, a custom FHIR server, or any configured EMR. No third-party cloud access.
Structured outputs and audit trails support national digital health governance frameworks.
No. TenaOS is designed from the ground up to operate fully offline. All AI inference runs on local hardware at the facility. There is no dependency on external servers, cloud APIs, or internet connectivity of any kind.
TenaOS runs on commodity hardware: a standard workstation or rugged laptop with a modern CPU. No GPU is required for CDS and scribe functionality. Imaging analysis benefits from a mid-range discrete GPU but can operate in CPU-only mode.
TenaOS integrates natively with OpenMRS 3.x as a microfrontend ESM module (@tenaos/esm-tenaos-app). It also exposes a FHIR R4 REST API, enabling integration with other EMR platforms or standalone deployment without OpenMRS.
The scribe feature supports Swahili, Amharic, French, Hausa, and English out of the box. CDS outputs are available in English and French, with localization roadmap prioritized by deployment region.
Completely. Patient data never leaves the facility. TenaOS performs all AI computation locally, with no external API calls, no cloud uploads, and no telemetry. Outputs are structured and auditable, meeting WHO and national health data governance standards.
Yes. The CDS knowledge base is curated and aligned to WHO and MSF clinical protocols, including WHO Essential Medicines List, WHO Malaria Guidelines, and IMCI protocols. Every CDS output includes citations so clinicians can verify the evidence basis.
Pilot TenaOS in your facilities to reduce diagnostic uncertainty, preserve data sovereignty, and return clinician time to patient care.
