Discover agent activity
Know which third-party MedTech agents, models, tools, owners, and healthcare destinations are in use.
The Sierra Gateway
The trust boundary between external AI and healthcare.
Discover every external AI actor, verify its authority, enforce purpose-bound access, inspect activity, and create evidence before healthcare systems are asked to trust it.
Sierra Gateway
Decision workspace
Policy active
Incoming action
Update scheduled case
case.schedule.update
Identity
VerifiedDevice manufacturer · Case Agent
Purpose
MatchedCase coordination · Facility 04
Data
MinimizedSchedule and product fields only
Destination
ApprovedHealth system scheduling
Human approval required
The requested schedule change affects a confirmed procedure. Execution pauses for the assigned coordinator.
Decision path
- Request received
- Trust chain verified
- Policy evaluated
- Sensitive fields removed
- 05Coordinator approval
- 06Trusted event created
Evidence envelope
Actor + ownerPurpose + policyData + destinationDecision + result
Third-party MedTech agents
See every agent. Govern every interaction.
An illustrative Sierra control view for the agents, identities, policies, healthcare connections, and human decisions operating through the gateway.
Sierra Gateway
Third-party MedTech agent control
Live policy
Known agents
8
Organizations
4
Active policies
12
Open reviews
1
Sierra
Gateway
Case Agent
case.schedule
PO Agent
purchase-order.read
Inventory
inventory.reserve
Authorization
document.submit
Trust chain verified
Govern every interaction
Apply consistent rules for purpose, permissions, data access, tool use, duration, and human approval.
Secure every agent
Verify the full chain of authority and limit each agent to the exact action the workflow requires.
The healthcare AI gap
External AI is moving faster than healthcare can establish trust.
Traditional vendor credentials identify a connection. They do not explain which AI is acting, why it is acting, or what it should be allowed to do now.
Unknown AI actors
Healthcare may see an API call without knowing the company, operator, agent, model, tool, or authority behind it.
Unbounded data access
Persistent credentials can expose more systems and information than the current workflow requires.
Actions beyond purpose
An authenticated agent can still exceed its approved role, destination, data rights, or duration.
Where the gateway operates
One control point. Three sides of the ecosystem.
MedTech agents
Give case, PO, inventory, authorization, and DME agents a governed path into approved healthcare workflows.
Explore MedTech gatewayVendor applications
Create one policy-enforced connection point for third-party applications that need bounded healthcare access.
Map a connectionHealthcare organizations
Evaluate external AI through a consistent identity, purpose, permission, inspection, and evidence model.
Request a briefingThe gateway path
Every action must earn its way through.
The gateway evaluates context continuously, not just once when a vendor or user signs in.
External ecosystem
Manufacturer
Distributor
Representative
AI application
Sierra trust boundary
01
Discover
02
Identify
03
Authorize
04
Inspect
05
Enforce
06
Prove
Every decision becomes evidence
Healthcare infrastructure
EHR / FHIR
Supply chain
Scheduling
Clinical systems
- 01
Discover
- 02
Identify
- 03
Authorize
- 04
Inspect
- 05
Enforce
- 06
Execute
- 07
Prove
Gateway capabilities
Identity, policy, defense, and evidence in one plane.
01
AI inventory
Maintain a current record of external agents, applications, models, tools, owners, and destinations.
02
Identity verification
Trace authority from organization and operator to the exact agent, model, tool, and requested action.
03
Purpose-bound policy
Evaluate workflow purpose, data class, destination, duration, and minimum necessary access at runtime.
04
Runtime inspection
Inspect requests, tool use, and responses for unexpected behavior before execution continues.
05
Operational controls
Allow, deny, redact, transform, or pause an action for an accountable human decision.
06
Trusted evidence
Preserve the actor, authority, purpose, policy, data, decision, and result as one reviewable event.
Built on Anchor Point Health
Healthcare trust infrastructure underneath.
Anchor Point provides the identity, policy, observability, security, and controlled-execution foundation. Sierra establishes the operating boundary for external healthcare AI.
Purpose-built for the edge
Where independent MedTech meets healthcare.
Sierra combines the trust boundary with managed agents and integrations for the practical workflows distributors, manufacturers, DME providers, and representatives run every day.
See the MedTech gatewayEstablish the boundary
Know the actor. Bound the purpose. Prove the decision.
Bring one external AI connection and map how Sierra would identify, authorize, inspect, enforce, and record it.
Request a platform briefing