01
Accessibility is the product.
Ingest data from where patients already keep it — Apple Health, Dexcom, a prescription bottle, a screenshot. No API contracts. No technical literacy required.
HealthDigits AVS scanner — deployable today
In active development · alpha surfaces available
A patient-controlled intelligence layer for lifelong health.
Built for the 80% of health that happens outside the clinic — and for the patients, caregivers, and disability communities the system was not designed around.
The platform
Three principles every decision is judged against.
02
The patient controls consent.
Consent is a first-class object — granular, revocable, portable across vendors, durable as capacity changes. Caregiver delegation built in from day one.
FHIR Consent resource, patient-editable
03
Interoperable by default.
FHIR R4-native. SMART on FHIR scaffolded from day one. Meets the healthcare ecosystem where it already is.
CMS ACCESS production launch, July 2026
Who we serve
For the people the system was not designed around.
Progressive conditions
MS, ALS, Parkinson’s — where capacity changes over time.
Medicare complex care
Multiple conditions across multiple specialists.
Chronic disease
Multi-specialty care brought into one record.
Family caregivers
Carrying the records the system does not.
Credibility floor
A decade of federal deployments via IntelaCare for vulnerable and hard-to-reach patient populations.
SHIRLe is not a startup proving an unproven approach. Our sister clinical platform has delivered care to veterans, chronic disease patients, and disability-adjacent populations across VA and DoD programs.
Tell us where you fit.
Disability and advocacy organizations, providers, payers, patients, caregivers. Replies come from A.R. or someone close to him. We read everything.