See the whole person. Across clinical and social care.
A person’s story goes far beyond a single encounter.
Hospital records, CHC visits, social work notes, PRAPARE screenings, community referrals: CLARYS Medical Memory brings them into one longitudinal view.
Social drivers of health (SDOH) and clinical concepts are structured, even in social work notes, and every detail stays traceable to its source.
Care is connected. Information often isn’t.
Maria returns to your health center after a hospital stay.
At the hospital. Her treatment changed before discharge.
At the CHC. Her team follows her diabetes and hypertension.
With her social worker. Housing and transportation issues are documented.
With a community organization. A housing referral is underway.
Each team knows part of her story. Who sees all of it?
Who sees the whole story?
Better care starts with understanding the whole person.
One medical and social memory, across systems
Structure SDOH and clinical concepts, even in social work notes
Housing, transportation, food, cost of care: social workers document what structured fields miss.
CLARYS Intelligence identifies these social drivers and the clinical concepts around them, codes them with ICD-10-CM Z codes and SNOMED CT, and links each one to its sentence.
Built on FHIR R4, in line with the HL7 Gravity Project: screenings as LOINC-coded Observations, needs as Conditions coded in SNOMED CT and ICD-10-CM.
Ms. Alvarez is behind on rent and afraid of losing her apartment.
No reliable transportation since her car broke down; two missed appointments.
Reports skipping meals at the end of the month.
Cannot always afford her metformin; home readings show high blood pressure.
Structured by CLARYS IntelligenceFHIR R4 · HL7 Gravity
Housing instabilityICD-10-CM · Z59.811
Transportation insecurityICD-10-CM · Z59.82
Food insecurityICD-10-CM · Z59.41
Underdosing due to financial hardshipICD-10-CM · Z91.120
HypertensionSNOMED CT · 38341003
Follow the full journey
Hospital discharge, CHC visit, social work note, referral update: one timeline across organizations, with the date and origin of every piece.
A summary the person can understand. In their language.
CLARYS Medical Memory builds an International Patient Summary (IPS) from the person’s history, linked to every source.
CLARYS Intelligence works on coded concepts (SNOMED CT, LOINC, ICD-10-CM), not on words: the summary can be shared in Spanish, among other languages, with its clinical and social meaning intact, for the person, their family and every team.
27% of the people health centers serve have limited English proficiency (HRSA, UDS 2025).
International Patient Summary
Translated from coded concepts · Sep 15, 2026
Keep the evidence one click away
From a concept or a summary to the document behind it, in one click.
Summary · Current medications
Lisinopril discontinued; losartan 50 mg daily started.
Designed for the people delivering whole-person care
Clinical care teams
History, recent hospital stays, treatments and social context, before each decision.
Care managers and community health workers
The context behind missed visits, care transitions and social needs.
Social workers and care coordinators
Their notes become structured data, shared according to permissions.
See CLARYS Medical Memory in action
01 · Explore the journey
The person’s history across care settings, on one timeline.
Hospital discharge · Sep 8, 2026
Discharge summary · Riverside General Hospital
02 · Understand the notes
Clinical concepts and SDOH found in documents and social work notes, linked to their source.
Social work noteEastside CHC · Oct 2, 2025
Behind on rent and afraid of losing her apartment.
PRAPARE screeningEastside CHC · Oct 2, 2025
Housing: has housing, worried about losing it.
Discharge summaryRiverside General · Sep 8, 2026
Lives alone; housing instability flagged for follow-up.
03 · Share the essential context
A traceable, standards-based summary for continuity of care.
Shared summary
Sep 15, 2026 · International Patient Summary (FHIR IPS)
58-year-old woman with type 2 diabetes mellitus and hypertension, recently discharged from hospital.
Active problems and medications
- type 2 diabetes mellitus, documented since 2019
- hypertension, hospital stay in Sep 2026
- losartan 50 mg daily, started Sep 8, 2026
Social drivers of health: housing instability, transportation and food insecurity (social work note, PRAPARE)
Product demonstration using fictional data.
Built for the U.S. health center ecosystem.
- people served by HRSA-funded health centers in 2025
- 32.7M
- health center organizations funded by HRSA (2025)
- 1,356
- of the people served are covered by Medicaid or CHIP
- 48%
- Community Health Center Fund, fiscal year 2026
- $4.6B
Sources: HRSA Uniform Data System 2025; Consolidated Appropriations Act, 2026.
Health Center Program
Funds and oversees community health centers under Section 330, with annual reporting through the Uniform Data System (UDS).
UDS+
HRSA is moving UDS reporting to person-level data, submitted in FHIR R4.
USCDI v3
Since January 1, 2026, certified health IT must support USCDI v3, including SDOH assessments, goals, problems and interventions.
Gravity Project
Defines how social drivers of health are coded and exchanged in FHIR R4. CLARYS Medical Memory follows its approach.
PRAPARE
The national association of health centers co-developed PRAPARE, the standardized screening tool for social needs.
Medicaid and CHIP
They cover nearly half of the people health centers serve: coordination across settings is a daily priority.
We are working with U.S. Community Health Centers on focused proof-of-concept projects.
Start with one workflow, such as post-discharge follow-up or complex care coordination. Together, we map the data sources, check the connections and measure what a shared view brings your teams.
Frequently asked questions
Can CLARYS Medical Memory work with our EHR and other systems?
CLARYS Medical Memory is built on an interoperable, FHIR-based foundation. The integration approach depends on your systems, interfaces and data-sharing agreements.
How does it relate to the HL7 Gravity Project?
CLARYS Medical Memory is built on FHIR R4 and follows the HL7 Gravity Project approach to social drivers of health: PRAPARE screenings as Observations, identified needs as Conditions, coded in LOINC, SNOMED CT and ICD-10-CM.
What about PRAPARE, social work notes and referrals?
PRAPARE responses are used as structured data. In social work notes, CLARYS Intelligence structures SDOH and clinical concepts, each linked to its source. Referral data depends on what partner systems share.
How is sensitive information handled?
Access follows your authorization, consent and data-governance rules. Security and deployment are reviewed with you during the project.
Each person has one story. Your team should be able to see it.
Discover how CLARYS Medical Memory connects clinical and social information across your care network.A demo with fictional data, and a conversation about your teams’ challenges.