Person‑to‑institution interoperability for the Brazilian health ecosystem
For health secretariats, hospitals and healthtechs that need to move clinical data across e‑SUS, SISREG, SEI and RNDS — no central server, no telemetry, no lock‑in. Currently in closed beta, access granted through institutional partnership.
Why Panaceia?
Built on the principles the Brazilian health system deserves.
Absolute local-first
Clinical data never leaves the device without explicit authorization. Zero telemetry. Zero central server. Everything stored and encrypted locally with AES-256-GCM and Argon2id.
AGPL-3.0-or-later core
The core — extension, official packs, validator — is and remains AGPL-3.0-or-later, no dual licensing. Managed deploy and custom integrations are offered separately by Sciereli HDC.
FHIR R4 + RNDS
Normalizes captures to Brazilian RNDS profiles, ready for transmission under Portaria GM/MS 6.656/2025. BRRegistroAtendimentoClinico, BRPaciente, BRProcedimentoExame and more.
Pack system
13 built-in adapters (e-SUS APS PEC, SISREG, SEI, GAL, AGHUse, SI-PNI, Horus, SISCAN, SISCOLO, SISMAMA and more). Declarative Pack DSL — no procedural code, every pack signed and verified.
Three steps. All local.
No sign-up. No server. No data leaving the browser.
Capture
The extension automatically detects clinical data on the source system's screen, using MutationObserver and DOM parsing, as soon as the matching adapter is activated.
Normalization
Data is extracted and mapped to FHIR R4 resources with RNDS profiles, validated locally before any use. No data leaves the browser at this stage.
Export
Export as a FHIR R4 Bundle (.json), send to an institutional FHIR server, or use the local encrypted backup. The institution decides when and where data goes.
Supported systems
Coverage across primary care, regulation, hospital networks, vaccination, pharmacy, diagnostics/oncology and SUS document workflows.
Primary Care
e-SUS APS PEC
Encounter · ConditionCitizen Electronic Health Record — Primary Care
Regulation
SISREG III
ServiceRequestNational Regulation System
e-SUS Regulacao
ServiceRequestOutpatient and hospital regulation
Hospital
AGHUse
Encounter · ConditionAGHU/EBSERH — hospital admission
Vaccination
Conecte SUS
Immunization · ConditionDigital Health Wallet for citizens
SI-PNI
ImmunizationDigital Vaccination Record
Pharmacy
Horus (BNAFAR)
MedicationDispensePharmaceutical dispensing — BNAFAR
Diagnostics & Oncology
GAL
DiagnosticReportLaboratory Environment Manager
SISCAN
ServiceRequest · ObservationCancer screening — INCA
SISCOLO
DiagnosticReportCervical oncologic cytology — INCA
SISMAMA
DiagnosticReportMammography and breast screening — INCA
Documentary
SEI
DocumentReferenceElectronic Information System
RNDS Portal
DocumentReferenceProfessional Portal — RNDS history
Need an adapter for a system that isn't listed? Contact panaceia@saude.dev.
For institutions
Institutional deploy, direct RNDS integration and SLA
The Panaceia core — extension, official packs, validator — is and remains free and AGPL-3.0-or-later, with no capped tier. The layer alongside is offered separately by Sciereli HDC via saude.dev — never mixed into this project's AGPL code.
Contact panaceia@saude.devManaged institutional deploy
HAPI/Medplum operated for your institution.
Direct RNDS integration
Homologation with mTLS and ICP-Brasil certificate.
Proprietary packs on demand
Adapters for institution-specific legacy systems.
SLA-backed support
Priority response after deploy.
Let's talk about your case
Tell us about your institution and the data workflow you need to solve.
Request access