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Systems/Plexus

One record. Every signal. Open standards.

Plexus is the FHIR-native data plane underneath the MSTFA portfolio — ingesting real-time biosignal streams from every instrument into one canonical patient record, served through standard clinical interfaces.

14
FHIR endpoints live
R4
HL7 FHIR release
100%
Patient-exportable records
3
Device translators
The Problem

Device data is worthless if clinicians can't reach it.

Every MSTFA instrument produces a continuous stream — 30-second neural windows, spirometry maneuvers, swallow events. Plexus translates each into HL7 FHIR R4 observations, keyed to a single patient identity, and serves them through the interfaces clinical systems already speak.

Raw payloads are retained append-only for audit and replay. Every read, write, export, and share is logged. The entire record is exportable by the patient at any time — retention is earned, not enforced.

Plexus — engineering render
Instrument

Specification.

RuntimeNode 20 · TypeScript · Fastify
StoragePostgreSQL 16 — JSONB FHIR resources with an observation index for hot-path search; append-only raw stream for audit and replay
StandardFHIR R4 — Patient, Device, Observation; LOINC coding where standardized
IngestionWebSocket streaming from devices; device-specific translators map native payloads to FHIR observations
ComplianceFull audit logging of reads, writes, exports, and shares; HIPAA-oriented schema design
PortabilityPatient/$everything bulk export — the complete record leaves with the patient on request
Pipeline

Why FHIR.

01

Industry convergence

Electronic health record systems, telehealth platforms, and research infrastructure all converge on HL7 FHIR. Building natively on it means MSTFA instruments plug into existing clinical workflows rather than demanding new ones.

02

Canonical identity

One patient, one record. Every device stream keys to the same identity, producing a unified physiological context vector consumed by every program's models.

03

Auditability

Append-only raw retention plus logged access means every observation can be traced from sensor to record.

04

Patient control

Bulk export through the standard FHIR operation — the complete record leaves with the patient on request.

Development Status

Where the program stands.

LiveFourteen endpoints covering patient and device registration, observation ingestion and search, capability discovery, real-time streaming, and bulk export.
In progressDevice-translator hardening across the three instrument programs.
NextClinician-facing dashboard surfaces; EHR integration pilots.
PostureInfrastructure (not a regulated device); HIPAA-oriented design.

All systems     Discuss the program

All device programs are pre-clinical prototype and concept work. No MSTFA instrument is FDA cleared, CE marked, or available for clinical use.