iCure is a Swiss and Belgian company building secure infrastructure for digital health. We help healthcare innovators, from MedTech IoT teams and EHR providers to AI and patient-doctor app developers, deliver compliant, interoperable and end-to-end encrypted solutions without reinventing the wheel.

Cardinal is our secure backend-as-a-service for health-tech. Whether you are building medical AI, medical devices, electronic health records (EHR), patient-doctor apps or interoperability solutions, Cardinal takes care of your data security, scalability and compliance, so you can focus on your business logic, AI and user interface.

Cardinal is:

• Secure by design: end-to-end encryption and zero-trust architecture, so that you and your users keep full control of the data.
• Compliant: ISO 27001:2022, HDS and ISO 13485 certified, ready for GDPR, MDR and NIS-2.
• Interoperable: built-in FHIR support and a Data Exchange Module (DXM) covering FHIR, OMOP and IHE standards.
• Multiplatform: SDKs for TypeScript, React Native, Python, Android Kotlin, Java, Swift, Flutter/Dart, Kotlin Multiplatform and Embedded C.
• Deployable anywhere: cloud, on-premises or hybrid, with data residency to meet local regulations.
• Open source friendly: most of our code is open and available right here.

Today, 3K+ doctors and 4M+ patients medical data are already managed and secured on Cardinal Backend.

You can start using Cardinal by creating a free account on the Cockpit, or jump straight into the technical documentation to explore the SDKs, modules, quickstarts and boilerplate apps.

Most of the Cardinal projects powering Cardinal are open source and available here. The stack is mainly composed of:

1. The Cardinal Backend, the core of the platform, also known as the Kraken (Kotlin Reactive Backend). It is composed of several modules:

   • Kraken Lite: the open source version of the Kraken.
   • Kraken Kmehr module: a module that handles import and export of Kmehr formats for the Belgian market, as well as the SAM medication database.

2. The Cardinal SDK, a single multiplatform SDK designed for web, mobile, server and desktop developers:

   • Cardinal SDK, distributed on:
     • Maven Central for Kotlin and Java developers.
     • npm for JavaScript, TypeScript, React and React Native developers.
     • pub.dev for Dart and Flutter developers.
     • PyPi for Python developers.

• Kryptom: a simple and efficient Kotlin multiplatform encryption library integrated with the system preferred encryption libraries.
• Kerberus: a Kotlin Multiplatform proof-of-work captcha library, inspired by mCaptcha and built on top of Kryptom. Available on Maven Central, with wrappers for Swift, Expo and Dart.
• Krouch: a reactive CouchDB client in Kotlin.