Standards underneath. Intelligence on top.

The data layer underneath every Toro product. FHIR R4 storage, SMART-on-FHIR auth, public APIs — standards-compliant from day one, with AI workflows that live on top.

FHIR R4 at the storage layer
Patient, Encounter, Observation, MedicationRequest — every record stored as a standard FHIR resource. Not a translation. Not an export. Native.
AI workflows on structured data
ambient scribing, smart charting — workflows operate on structured FHIR resources, not free-text exports. Cleaner inputs. Better outputs.
Public APIs, no lock-in
Public FHIR R4 API. SMART-on-FHIR auth. Migration in and out via Switch. We earn your business with standards, not contracts.

Most EHRs bolt FHIR on. Toro is FHIR all the way down.

Most "FHIR-compliant" EHRs store data in proprietary formats and translate to FHIR on export. That works for compliance checkboxes — and falls apart when AI tries to read it. Toro stores in FHIR R4 from the first byte, so every layer above gets clean, structured data.

Legacy EHR
Proprietary storage, FHIR as afterthought
Proprietary database
↓
FHIR translation layer
↓
FHIR API (lossy)
↓
AI reads messy data

Translation drops fidelity. AI workflows hallucinate because the data shape is inconsistent.

Toro
FHIR-native, end to end
FHIR R4 storage
↓
Direct FHIR API
↓
AI reads structured resources
↓
Workflows that work

No translation, no fidelity loss. AI workflows operate on the same standard resources every modern healthcare system speaks.

The work of running a practice — done.

Composable workflows that share a common FHIR data substrate. More shipping every quarter.

Scribe Agent
The Scribe Agent. Captures the conversation ambiently, generates a structured SOAP note in real time, posts it back as FHIR resources. No dictation. No post-visit typing.
Smart charting
Pulls structured history, suggests problem list updates, surfaces overdue care. Proactive, not retrospective.
Payments and claim generation
Collects card payments and recurring membership fees. Turns each visit into a complete claim you can hand to any billing company you already work with.
Patient communications
Reminders, follow-ups, intake forms, results delivery. Patient-facing. HIPAA-clean. On the same data.

Interoperability and portability

Toro is built to connect, by default. Public FHIR R4 API. SMART-on-FHIR backend services authentication. US Core conformant. The full conformance statement is published at /fhir/metadata for anyone to verify. Bulk Data $export and additional standards-based interop capabilities are on the near-term roadmap — we ship and document, we don’t pre-promise.

Migration in and out is a feature, not an afterthought. Switch moves practices from any major EHR — FHIR-to-FHIR for sources that support it, guided manual migration for everyone else. If you ever decide to leave Toro, the same team helps you go, in reverse.

Standards are how a healthcare platform earns trust monthly instead of trapping it.

Built for the AI era

The next decade of healthcare AI doesn't depend on bigger models. It depends on cleaner data.

Most healthcare AI underperforms because the data it reads is messy — proprietary schemas, inconsistent vocabularies, undocumented fields, lossy exports. That's the legacy EHR's fault, not the model's. When AI workflows operate on FHIR-native resources, the same models perform measurably better. Same model, cleaner substrate.

Toro is the substrate.

The first wave. More shipping every quarter.

EHR
The Scribe Agent. Ambient documentation, no typing.
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Membership Model
Recurring payments, panels, member tracking.
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Growth Engine
Referrals, outreach, analytics for your panel.
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Developers
FHIR R4 API, SMART-on-FHIR, sandbox.
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Standards win. Build on them.

Talk to the Toro team about your practice or your integration project.