SEQUENCING · FLAGSHIP
12% smaller · 22-min align
FASTQ / BAM / VCF on the SwissVault genomics benchmark. Closed-loop clinical AMR reasoning binds sequence → phenotype → mechanism → provenance.
MEDICAL KG · DESIGN-PARTNER PIPELINE
BIRAC-TRACKED · ACTIVELY ENGAGING PARTNERSMulti-modal medical data, unified. On infrastructure you control.
Imaging, sequencing, EHR, devices, trials — one audit-trailed graph. Customer-controlled deployment, no public-LLM exposure. Built on the same Cithorum substrate that runs our 1 PB internal Data-Centre Ops graph.
THE PROBLEM
Medical data is exploding. Storage budgets are not.
A single FASTQ run is 100–300 GB. Implant makers carry a 25-year follow-up obligation. Trial data is retained for the lifetime of the submission plus a decade. Medical estates retain everything, forever, by regulation — and the cost curve is unforgiving.
Cross-system questions cost a quarter and three analysts. Public-LLM tools are non-starters the moment patient data crosses the perimeter. Medical KG runs inside your perimeter, on the same Jam codec already in production at ~₹70L ARR. Every query is audit-logged.
WHAT YOU GET
One substrate. Every medical data type.
IMAGING · FLAGSHIP
3–8× live · up to 100× cold
Petabyte-scale PACS archives — CT, MRI, PET, X-ray, DICOM. Imaging linked to patient, study, physician, outcome. Survives the next PACS migration.
DEVICES
25-year follow-up graph
Serial → patient → procedure → surgeon → outcome → manufacturer → recall. The missing layer between the follow-up obligation and the warranty claim.
EHR · CLINICAL
Per-record encryption
Structured + unstructured clinical records. Long-retention compression on de-active records. Patient → visit → diagnosis → medication → provider graph.
TRIALS
Decade-plus retention
Cohort, raw assays, inter-site replicates, statistical packages. Trial → site → patient → assay → outcome → submission graph. Regulator-export ready.
PROCUREMENT
Population-scale view
Order → manufacturer → distributor → hospital → department → procedure consumption. What devices actually do once they enter clinical use.
Full technical depth — schema, connectors, deployment patterns, compliance mapping — at /kg/medical.
PLATFORM
A knowledge graph, not another LIMS.
Cithorum sits on top of LIMS, PACS, EMR, and sequencing instruments — and emits queryable, audit-trailed intelligence back to the clinical decision surfaces. We bind evidence; we don't replace systems of record.
SOURCESCITHORUM KG COREQUERY & ALERT SURFACE
INGEST
What Cithorum reads from
Cithorum sits on top of the hospital's existing systems-of-record. We don't replace the LIMS, the PACS, or the EMR — we read their output, normalise it, and bind it into the graph with full provenance.
- 01PACS · DICOM imaging archives (CT, MRI, X-ray, ultrasound)
- 02LIMS · LabWare, STARLIMS, Clarity (sample → result records)
- 03EMR · admissions, orders, dispensing, discharge
- 04Sequencing instruments · short-read WGS, MALDI-TOF, plasmid typing
- 05Diagnostics · VITEK 2 / BD Phoenix antibiograms, MIC values
- 06Device registries · implant serial → procedure → outcome
REASONING LAYER
The typed knowledge graph
Every edge carries provenance: source, timestamp, actor. Every fact traces. The graph is the integration surface, not a silo on top of one.
QUERY & ALERT
What Cithorum writes back out
Queries — not dashboards. Alert surfaces are typed, not preset. The graph emits answers wherever they need to land: at the bedside, in the clinician's inbox, in the regulator's audit report.
WARD CO-COLONISATION
(p:Patient)-[:IN]->(w:Ward)<-[:IN]-(q:Patient)
-[:CULTURED]->(i:Isolate {genus:"Klebsiella"})
WHERE q.admit < p.admit AND p.admit < q.dischargePLASMID-LEVEL RESISTANCE
(:Isolate)-[:CARRIES]->(:Gene {name:"bla_KPC"})
-[:ON]->(:Plasmid {type:"IncFII"})IMPLANT POST-MARKET
(d:Device {sn:"SN-83"})-[:IMPLANTED_IN]->(p:Patient)
-[:UNDERWENT]->(s:Surgery)
-[:OUTCOME]->(o:Outcome) WHERE o.years_post >= 5- Ward dashboardsRisk-tiered isolate alerts at the bedside
- Clinician inboxDiscordance flags, escalation prompts
- Audit & regulator reportsProvenance-traced, AST-confirmed
- AI assistantSchema-only — never raw PHI or imaging
Not another LIMS. LabWare, STARLIMS, Clarity, and the hospital's PACS / EMR / HIS remain the systems of record. Cithorum is the reasoning layer that reads from them, binds the evidence, and emits queryable, audit-trailed intelligence — without any data leaving the operator boundary.
APPS ON THE MEDICAL KG
Cithorum Medical Workspace — modular apps, one substrate.
Buy one app to start; add the rest as your estate matures. Same KG, same Jam-compressed storage, same regulatory posture.
⌬FLAGSHIP · BUILDING Q3 2026
Sequencing app
FASTQ ingest with Jam, hash-verified batches, variant interpretation, regulator-export PDFs. SwissVault: 12% smaller, 22-min align.
For: sequencing labs · biobanks · clinical genomics.
↻LIVE DEMO · PRODUCTISING Q4 2026
AMR Loop app
Closed-loop clinical AMR decisioning over CRE-Kp. Predict → Measure → Confirm → Retrain. Q4 2026 with first design-partner hospital.
For: tertiary hospital CIOs · infection-control · clinical micro directors.
▦DESIGN-PARTNER PIPELINE · 2027
Imaging triage app
Radiology worklist with KG context — priors, ward, physician, similar-case retrieval inline. DICOM + HL7, customer-controlled.
For: radiology IT · imaging-archive custodians · CMIOs.
⚙DESIGN-PARTNER PIPELINE · 2027
Device follow-up app
Serial → patient → procedure → surgeon → 5-year outcome → manufacturer → recall. Post-market surveillance for orthopaedic and long-follow-up devices.
For: device manufacturers · quality & compliance · distributor networks.
§2027
Clinical-trial app
Multi-site cohort + assay tracking. Inter-site replicates, regulatory export, decade-plus retention on Jam-compressed archives.
For: trial sponsors · CROs · biometrics leads.
∿2027
Procurement intelligence app
What devices actually do once they enter clinical use, at population scale. Order → hospital → department → procedure → outcome.
For: device manufacturers · distributors · hospital procurement.
Every app is removable without touching the systems of record — LIMS, PACS, EMR keep running. Multi-app sites get bundle pricing.
FLAGSHIP CLINICAL DOMAIN
Sequencing + AMR — the closed-loop clinical decision layer.
56% of K. pneumoniae isolates in ICMR 2022 tertiary sentinel sites are meropenem-resistant. Diagnostic stack (VITEK, BD Phoenix, MALDI-TOF) produces results; the missing piece is the reasoning layer that binds result to ward action in time.
WALKTHROUGHIllustrative — synthetic isolate, demo dataCITHORUM / ISO-004113 / PREDICT
The open quadrant. Population-surveillance platforms sit too high; wet-lab AST hardware sits below; pharma R&D graphs target a different customer; LIMS are the substrate, not the reasoner. Cithorum occupies the open software-clinical quadrant — designed for the Indian tertiary-care workflow.
PRIVACY · CONTROL · AUDIT
The reasons hospital IT and in-house counsel will sign.
HIPAA-aligned
Privacy + Security Rule control families. Per-tenant encryption, per-edge permissions, BAA-mappable.
DPDP Act 2023 residency
Sovereign-by-default Indian deployment via Cithorum Cloud. Data stays in-tenancy. CERT-In logging integrated.
ICMR audit
Indian Council of Medical Research alignment. Biobank policies, consent provenance per record, audit-export ready.
No public-LLM exposure
AI runs on customer-deployed or local models. The model sees the schema, not the bytes. Air-gapped option.
Customer-controlled deploy
On-prem, sovereign cloud, or air-gapped. Customer keeps the iron, the data, the audit trail.
Long-retention economics
Jam turns regulator-mandated 25-year retention from cost commitment into manageable line item.
WHO BUYS IT
Hospitals. Sequencing labs. Device makers. Trial sponsors.
Hospital & multi-site networks
CIOs, CMIOs, radiology IT leads.
Collapses the PACS bill, unifies imaging with EHR, gives the AI assistant a graph to reason over without leaving the perimeter.
Sequencing labs & biobanks
Lab directors · bioinformatics · biobank custodians.
FASTQ-class compression compounds hardest here. 12% smaller, 22-min align plus full chain-of-custody — cost story and regulatory story become one.
Device manufacturers & distributors
Quality & compliance · regulatory affairs.
Implant makers carry decade-plus follow-up. Serial + procedure + outcome graph for recall management, post-market surveillance, efficacy claims.
Clinical-trial sponsors & CROs
Trial operations · data managers · biometrics.
Multi-site cohorts, raw assays, inter-site replicates. Graph models the lineage; substrate keeps the long-retention bill survivable.
DESIGN PARTNER PROGRAMME
Active pipeline. BIRAC-tracked. Six-month paid engagements.
Biomedical workstream led by Suraj S Naik (Co-founder · Head of Government Procurement and Tender Relationships; Chirag Labs). Tracked against the BIRAC ₹24.37 Cr non-dilutive instrument.
What you commit
Six-month engagement, signed scope. One bounded data perimeter (single PACS, FASTQ archive, device line, or trial cohort). One named stakeholder for fortnightly reviews.
What Cithorum commits
Named technical contact (Spyros Argalias, CTO; Suraj S Naik for medical). Exclusive launch within sub-domain. Custom schema. Air-gapped deploy where required.
What you pay
Paid scope at design-partner pricing — funds engineering, not margin. BIRAC-aligned engagements available as joint-grant structures.
What you get after
First-mover position on GA within sub-domain. Locked SaaS pricing for 36 months post-GA. Reference-customer co-marketing rights (opt-in). Graph and data are yours.
Active sub-domains: hospital imaging, sequencing biobanks, orthopaedic device tracking, clinical-trial data lineage. One slot per sub-domain.
Apply for design partnership →PRICING
Design partner first. Per-estate pricing after.
Design-partner stage is a paid scoped engagement. Post-GA: per-estate / month, calibrated to data volume, sub-domain mix, and deployment shape.
DESIGN PARTNER
Six-month scoped engagement
Paid scope, single prepaid invoice or BIRAC-aligned joint grant. Named technical & medical contacts.
Apply →GA · POST-DESIGN-PARTNER
Per-estate / month
Calibrated to data volume + sub-domain mix. SaaS-style billing, exit guaranteed. 36-month locked pricing for design-partner alumni.
Talk to us →SOVEREIGN / AIR-GAPPED
Custom
Air-gapped on customer hardware, sovereign-jurisdiction options, multi-site federation. Special-category data, regulator residency.
Contact us →Six months to a productised app on your estate.
Apply for the Medical KG design partner programme. Active pipeline across imaging, sequencing, device tracking, and trial lineage. BIRAC-aligned engagements available.