Coordination infrastructure for complex care
When someone needs care from multiple people — clinicians, family members, social workers, professionals — each holds a different fragment. Nobody holds the whole.
SameGround produces a single shared record that everyone derives their actions from. Confirmed by a named human reviewer before it influences any decision. Reviewed automatically when it is going out of date.
"The person at the centre is not coordinated around. They are coordinated with."
A structured intake produces an immutable State document — versioned, traceable, and derived from a single confirmed source. Every agent works from the same picture.
No State influences any decision without a named human reviewer confirming it reflects reality. The gate is constitutive — enforced at database level, not advisory.
Every State has a decay rate derived from the trajectory of the situation. Review is triggered automatically. A record with no expiry date is a false prior in waiting.
Coordination domains
Each domain applies the same coordination architecture to a specific context — with intake questions, field structures, and decay rates calibrated to that situation.
Family care coordination
For families and professionals coordinating complex care at home. When the GP holds one fragment, the social worker another, and the family a third — CareGround produces the shared picture none of them currently have.
Mental health coordination at transition points
For mental health professionals coordinating care at referral, discharge, and handover. The person speaks first. Their account anchors the document. The professional concern field names what the referral letter cannot hold.
Patient network record
The NHS records what clinicians do to patients. It does not record who surrounds them. NetworkGround builds and maintains a verified, living picture of every person in a patient's network — built before crisis, available at every transition point.
Medicines reconciliation at admission
The GP record looks complete. It is often wrong. MedRecGround coordinates every person who knows what a patient is actually taking — daughter, district nurse, community pharmacist — into a single verified medicines list before the ward team acts on it.
About SameGround
The Hippocratic medical record — encoded approximately 400 BCE — requires that before any intervention begins, a practitioner establishes a shared record: the presenting condition, the history, the prognosis, the treatment plan, the constraints. The record precedes intervention. It is maintained across every practitioner who subsequently touches the patient.
The same pattern was independently rediscovered in 2026 in an AI production pipeline — without knowledge of the prior. Convergent independent discovery across unrelated domains separated by 2,400 years is evidence that the pattern is structural: it emerges from the logic of coordination failure itself.
SameGround is the architectural implementation of that pattern — deployable at scale, in the domains where coordination failures are currently causing the most preventable harm.