Tritos Medical
Building the Technical Foundation for a Pre-Hospital Emergency Reporting Solution through Epic Integration
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Background
Tritos Medical Ltd is a software company focused on delivering solutions for pre-hospital emergency care: paramedics, air ambulance crews, and other first responders. Their goal is to improve patient handover, documentation, and continuity of care when transferring patients from pre-hospital settings to hospital Emergency Departments.
As emergency services increasingly generate rich patient data in the field (vital signs, treatment administered, incident notes, imaging where possible etc.), hospitals require structured, timely, and accurate information to receive patients effectively. Epic is one of the leading EPR systems in many UK trusts, used in hospital EDs for patient records, clinical decision support, alerts, and downstream care. Ensuring that pre-hospital teams can hand over data directly into Epic promises to reduce delays, data loss, and improve patient safety.
The Need
Tritos Medical recognised several gaps in existing workflows for pre-hospital care handovers. Paramedics and air ambulance teams often rely on paper or ad hoc electronic forms that are later transcribed or manually scanned into hospital systems. This leads to lost data, transcription errors, delays in hospital clinicians seeing critical pre-hospital information, and inefficiencies in ED workflows.
Specifically, Tritos needed a purpose-built web application (ePCR — Electronic Patient Care Record) that could be used in the field (on tablets or rugged devices) by paramedics / air ambulance crews to record patient encounters, vital signs, treatments, and relevant context. This application needed to support offline / intermittent connectivity, data validation, user authentication and security. Crucially, it also needed integration with Epic EPR so that, on arrival, hospital staff could retrieve the pre-hospital report automatically, without re-entry, ideally linking directly to the patient record in Epic.
Additional requirements included: ensuring patient identifiers are correctly matched (NHS number, name, demographics), handling attachments or media (images, audio notes etc.), audit logging of all actions, ensuring compliance with information governance and clinical safety standards, and building a UX that’s usable in pre-hospital settings (speed, minimal input, clear forms). The system also needed to be scalable, maintainable, and capable of integrating with hospital workflows (alerts, triage queue, etc.).
The Solution
6B partnered with Tritos Medical to design and develop the backend platform and integration services underpinning its Electronic Patient Care Record (ePCR) solution for pre-hospital emergency care. The platform is intended to support paramedics, air ambulance crews and other first responders in capturing and sharing critical patient information with receiving hospitals.
Working closely with the Tritos team, 6B developed a secure, scalable backend architecture in .NET capable of supporting the storage, management and transfer of pre-hospital patient data. A key requirement was enabling interoperability with Epic EPR, allowing patient reports generated in the field to be securely linked to hospital records and made available to clinical teams within existing workflows.
The solution includes patient matching functionality, secure service-to-service authentication, audit logging, monitoring, error handling and resilience features designed to support operation in challenging environments where connectivity may be intermittent. The architecture has been designed to accommodate future enhancements, including support for additional data types, integrations with other EPR platforms and advanced workflow automation.
By focusing on robust backend services and interoperability, 6B provided Tritos with a scalable technical foundation capable of supporting future product development, customer deployments and integration requirements across NHS and healthcare provider environments.
The Impact
The platform has enabled Tritos Medical to engage with multiple NHS stakeholders and demonstrate a scalable pathway for digital pre-hospital handover. The backend architecture and Epic integration capability provide Tritos with a strong foundation for future pilots, customer deployments and product enhancements. The solution has been designed with scalability, security and interoperability in mind, positioning the product to support a range of healthcare organisations and use cases as commercial adoption progresses.
From the outset, 6B gave us complete confidence that we were in safe hands. We started the project with a lot of unknowns, but their team was comfortable with that and flexible throughout. Communication was clear and consistent, with well-structured documentation that made it easy for us to stay aligned at every stage.
6B’s combination of technical expertise, responsiveness, and understanding of the NHS context made them the obvious choice of supplier. The process was smooth, the outputs delivered exactly as promised, and the handover was excellent.
What stood out most was their ability to combine technical delivery with genuine partnership – supporting us through every stage, anticipating challenges, and ensuring the solution was fit for both current use and future scale. We trust 6B not just as a supplier, but as a long-term partner who can help us deliver the next phases of our journey.
– Ryan Colhoun, Managing Director and Co-Founder, Tritos Medical