Least-privilege by default
An unregistered agent falls back to read-only. Nothing acts on PHI without an explicit authorization tier.
Solutions / Healthcare
Put AI agents to work near patient data, and prove they behaved.
Authorization, monitoring, and an immutable audit trail built for the way healthcare is regulated.
HIPAAthe US law protecting patient health informationFDA / Medical DeviceUS and EU oversight of software as a medical device (SaMD), including predetermined change-control plans and post-market monitoringHITRUSTthe common security framework health systems certify against
How Agentomy helps healthcare
Behavioral monitoring
Per-agent baselines flag drift and anomalies, with auto-quarantine when an agent goes off-pattern.
Evidence on demand
Generate readiness evidence mapped to the controls your compliance team already reports against.
In practice01 02 03 04 05 06 07
Plausible scenarios
Concrete ways an agent goes wrong here without governance, and the control that catches each one.
A chart summary reaches too far
A summarization agent pulls protected health information (PHI) for patients outside the care team's panel. Least-privilege enforcement blocks the access it never needed and logs it, keeping the agent inside the minimum-necessary boundary HIPAA expects.
A coding change with no author
A billing agent edits a clinical coding record, and later no one can say whether a person or an agent made the change. A hash-linked chain of custody attributes every read and write to a named operator and authorization tier, so the record is defensible.
A device-workflow agent drifts
An agent integrated with a device workflow starts behaving off-pattern. Per-agent behavioral baselines flag the drift and auto-quarantine it before a patient-safety issue develops.
A diagnostic model degrades on real patients
An AI diagnostic tool, the kind of software regulated as a medical device, is validated on one population and then quietly underperforms on the patients actually using it, the pattern behind a sepsis model that missed most real cases. Behavioral monitoring flags the drift from its validated baseline, so the degradation is caught in post-market use rather than after a missed diagnosis.
A model update ships without revalidation
A vendor pushes a new version of a clinical model outside its predetermined change-control plan, the pre-agreed limits within which the software may change. Authorization holds the update until it is validated and signed, and the change is recorded, so an unreviewed model does not begin making clinical decisions.
Results routed to the wrong system
An interface agent forwards lab results carrying PHI toward a downstream test system that was never authorized to hold patient data. Destination authorization refuses the route and records the attempt.
The auditor wants every access
A compliance review asks for a complete history of who (or what) touched a specific patient record. The tamper-evident log exports it on demand, in plain English.
Frameworks
Mapped to the frameworks you answer to.
Expand any framework to see what it means and what Agentomy provides.
HIPAA: the US law protecting patient health information. Agentomy provides tier-gated authorization, a tamper-evident audit trail, and readiness evidence you can map to it.
FDA / Medical Device: US and EU oversight of software as a medical device (SaMD), including predetermined change-control plans and post-market monitoring. Agentomy provides tier-gated authorization, a tamper-evident audit trail, and readiness evidence you can map to it.
HITRUST: the common security framework health systems certify against. Agentomy provides tier-gated authorization, a tamper-evident audit trail, and readiness evidence you can map to it.
Go deeper
Related use cases
Medical Device GovernanceGovern AI agents around medical devices with patterns validated against documented device-safety incidents.Read more →Patient-Data Middleware GovernanceGovern the AI agents living in the integration layer that moves protected health information between EHRs, labs, and payers: enforce least-privilege and prove every access.Read more →Health-Records Chain of CustodyA tamper-evident, hash-linked record of every AI-agent read and write to a patient record, so a health system can prove who, or what, touched a record and why.Read more →
See it in the record
Every action, logged and provable.
A tamper-evident, hash-linked trail of every governance decision, exportable to the framework your auditors care about. No error codes; plain-English reasons for every allow and deny.
Agentomy Command CenterFilter Healthcare
Fleet posture
- Governance posture77/100
- Agents governed5/ 6
- Quarantined1
Illustrative control mapping
- EU AI Act78%
- NIST RMF92%
- OWASP Agentic85%
Recent activity
- 12:42PermissionRouterVendor access blocked
- 12:41AuditLoggerEvidence record generated
- 12:40RuntimeMonitorBehavior drift flagged
- 12:39TrustScorerGovernance score updated
- 6 Registered
- 1 Quarantined
- Fleet Active
- Pipeline 10 Stages
| Agent | Type | Status | Module | Score |
|---|---|---|---|---|
| clinical-research-agent | Research | Active | RuntimeMonitor | 92 |
| patient-intake-agent | Intake | Active | AuditLogger | 88 |
| supplier-review-agent | Procurement | Monitored | PermissionRouter | 74 |
| claims-extract-agent | Claims | Quarantined | HaltProtocol | 41 |
| consent-draft-agent | Compliance | Monitored | EthicsConstraint | 79 |
| care-report-agent | Reporting | Active | DecisionLog | 90 |
Live 12:42:08Governance decisions, newest first
| Agent | Action | Policy | Result | Time |
|---|---|---|---|---|
| PermissionRouter | data_access_request | vendor-access | Blocked | 12:42:08 |
| AuditLogger | output_validation | audit-trail | Allowed | 12:41:54 |
| TrustScorer | policy_check | runtime-score | Allowed | 12:41:37 |
| RuntimeMonitor | behavior_drift | drift-threshold | Flagged | 12:40:58 |
| HaltProtocol | halt_initiated | unsafe-action | Blocked | 12:40:21 |
| EthicsConstraint | prompt_review | restricted-output | Flagged | 12:39:46 |
| DecisionLog | evidence_recorded | decision-proof | Allowed | 12:39:12 |
- 100% Integrity
- 41,742 Blocks
- SHA-256 hash-linked
| Block | Timestamp | Agent | Action | Tier | Hash |
|---|---|---|---|---|---|
| 41,742 | Today 12:42:08 | clinical-research-agent | data_access_request | Evaluator | 7f90d9f5e53f00a4 |
| 41,741 | Today 12:41:54 | patient-intake-agent | output_validation | Analyst | deafff94a99e5a13 |
| 41,740 | Today 12:41:37 | supplier-review-agent | policy_check | Builder | fdf27563b48e77ff |
| 41,739 | Today 12:40:58 | claims-extract-agent | behavior_drift | Operator | 6de7c6ea7e65f717 |
| 41,738 | Today 12:40:21 | consent-draft-agent | halt_initiated | Strategist | c54220472b0ae2dc |
| 41,737 | Today 12:39:46 | care-report-agent | prompt_review | Evaluator | 6d3508c4bf00eb38 |
Governance events today: 12,842Demo environment