{
 "categories": [
  "healthcare",
  "ehr",
  "public-sector"
 ],
 "deployment": "hybrid",
 "evidence": [
  {
   "date": "2026-08-21",
   "fact": "homepage",
   "note": "Cambio presents COSMIC as a patient-centred electronic health record for regional healthcare providers in the Nordics.",
   "source": "https://www.cambiogroup.com/our-solutions/cambio-cosmic/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "deployment",
   "note": "Cambio states COSMIC runs centrally on the Citrix platform rather than being installed on each workstation, with access from any device.",
   "source": "https://www.cambiogroup.com/about-us/partner-relations/citrix-partner/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "platforms",
   "note": "COSMIC is documented as a centralized Citrix-ready healthcare information system accessed from staff devices, not as a local-only install.",
   "source": "https://www.cambiogroup.com/about-us/partner-relations/citrix-partner/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "license",
   "note": "COSMIC is sold as a commercial regional EHR. The product page does not publish a public price list.",
   "source": "https://www.cambiogroup.com/our-solutions/cambio-cosmic/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.exists",
   "note": "Cambio Open Services publishes B2B APIs that third-party applications use against COSMIC, with a sandbox that contains a complete COSMIC install.",
   "source": "https://developer.openservices.cambio.se/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.kinds[0]",
   "note": "Most COS APIs are FHIR profiles adapted to COSMIC. The FHIR IG is based on FHIR 4.0.1.",
   "source": "https://developer.openservices.cambio.se/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.kinds[1]",
   "note": "Cambio states that some COS APIs are still REST and that the long-term goal is to replace them with FHIR.",
   "source": "https://developer.openservices.cambio.se/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.auth[0]",
   "note": "The current COS security guide states that COS supports only the OAuth 2.0 client-credentials flow, with SMART v1 and v2 scope notation. Authorization-code launch is not available.",
   "source": "https://fhir.openservices.cambio.se/site/security.html",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.auth[1]",
   "note": "Sandbox access also requires an API key from the developer-portal profile, in addition to client_id and client_secret.",
   "source": "https://developer.openservices.cambio.se/getting-started",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.api.coverage",
   "note": "The FHIR IG lists profiles for appointments, encounters, care plans, medications, laboratory and radiology orders, referrals, vital signs, vaccinations, and payments. That is an Open Services subset of COSMIC, not the whole product.",
   "source": "https://fhir.openservices.cambio.se/site/toc.html",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.extensibility.scripting[0]",
   "note": "Third-party applications integrate by registering an innovation, subscribing in the COS portal, and calling the documented FHIR and REST APIs.",
   "source": "https://developer.openservices.cambio.se/",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.data_access.export",
   "note": "Documented FHIR and REST GET and search URLs return JSON from COSMIC, for example Questionnaire/_search and patient medications or diagnosis.",
   "source": "https://developer.openservices.cambio.se/getting-started",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.data_access.import",
   "note": "Cambio states the sandbox is reset because the APIs let integrators both read and write, and that writes go through COSMIC internal APIs with version handling.",
   "source": "https://developer.openservices.cambio.se/services",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.agent_docs.llms_txt",
   "note": "https://www.cambiogroup.com/llms.txt, https://developer.openservices.cambio.se/llms.txt, and https://www.cambio.se/llms.txt returned 404 on 2026-08-21.",
   "source": "https://www.cambiogroup.com/llms.txt",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.integrations.zapier",
   "note": "Zapier's public app directory returned 404 for cambio-cosmic and cambio on 2026-08-21.",
   "source": "https://zapier.com/apps/cambio-cosmic/integrations",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.integrations.make",
   "note": "Make's app catalogue showed no COSMIC app; /cambio-cosmic rendered a coming-soon 404 page on 2026-08-21.",
   "source": "https://apps.make.com/cambio-cosmic",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.integrations.power_automate",
   "note": "Microsoft's public connector-reference catalog contained no Cambio or COSMIC connector on 2026-08-21; /connectors/cambiocosmic/ and /connectors/cambio/ returned 404.",
   "source": "https://learn.microsoft.com/en-us/connectors/connector-reference/",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "modalities.integrations.n8n",
   "note": "n8n's built-in app-node documentation returned 404 for cambiocosmic and cambio on 2026-08-21.",
   "source": "https://docs.n8n.io/integrations/builtin/app-nodes/n8n-nodes-base.cambiocosmic/",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "verdict.scores.api",
   "note": "The FHIR and REST surface is documented and read/write in sandbox, but partner activation, client-credentials-only auth, API keys, information-owner approval, and clinical-safety rules keep the path in the usable-but-gated tier.",
   "source": "https://fhir.openservices.cambio.se/site/security.html",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "verdict.scores.integrations",
   "note": "Bounded 2026-08-21 checks of Zapier, Make, Microsoft Power Automate, and n8n found no Cambio COSMIC connector, so the tracked iPaaS path is absent.",
   "source": "https://learn.microsoft.com/en-us/connectors/connector-reference/",
   "tier": "scraped"
  },
  {
   "date": "2026-08-21",
   "fact": "freshness.watch[0].url",
   "note": "Opened and verified as Cambio's current Open Services sandbox, credential, and URL-structure guide.",
   "source": "https://developer.openservices.cambio.se/getting-started",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "freshness.watch[1].url",
   "note": "Opened and verified as the current COS OAuth client-credentials and SMART-scope security page, generated 2026-06-18.",
   "source": "https://fhir.openservices.cambio.se/site/security.html",
   "tier": "declared"
  },
  {
   "date": "2026-08-21",
   "fact": "freshness.watch[2].url",
   "note": "Opened and verified as the current FHIR IG table of contents listing COSMIC-adapted profiles.",
   "source": "https://fhir.openservices.cambio.se/site/toc.html",
   "tier": "declared"
  }
 ],
 "freshness": {
  "last_verified": "2026-08-21",
  "volatility": "medium",
  "watch": [
   {
    "type": "docs",
    "url": "https://developer.openservices.cambio.se/getting-started"
   },
   {
    "type": "docs",
    "url": "https://fhir.openservices.cambio.se/site/security.html"
   },
   {
    "type": "docs",
    "url": "https://fhir.openservices.cambio.se/site/toc.html"
   }
  ]
 },
 "homepage": "https://www.cambiogroup.com/our-solutions/cambio-cosmic/",
 "id": "cambio-cosmic",
 "license": "commercial",
 "modalities": {
  "agent_docs": {
   "llms_txt": false
  },
  "api": {
   "auth": [
    "oauth2-client-credentials",
    "api-key"
   ],
   "coverage": "partial",
   "docs": "https://developer.openservices.cambio.se/getting-started",
   "exists": true,
   "kinds": [
    "fhir",
    "rest"
   ]
  },
  "cli": {
   "exists": "unknown"
  },
  "computer_use": {
   "issues": [],
   "viability": "unknown"
  },
  "data_access": {
   "export": [
    "fhir-json",
    "rest-json"
   ],
   "import": [
    "fhir-json",
    "rest-json"
   ]
  },
  "extensibility": {
   "scripting": [
    "cambio-open-services"
   ],
   "webhooks": "unknown"
  },
  "integrations": {
   "make": false,
   "n8n": false,
   "power_automate": false,
   "zapier": false
  },
  "mcp": {
   "first_party": "unknown",
   "third_party": [],
   "verdict": "unknown"
  },
  "rpa": {
   "drivability": "unknown",
   "notes": "No repeatable UI probe was run. Cambio Open Services FHIR and REST APIs are the supported automation path. COSMIC is Citrix-ready and often delivered as a centralized Windows client; visual control of a clinical record is not a substitute for scoped Open Services access.\n",
   "ui_stack": [
    "citrix",
    "windows-desktop",
    "web-dom"
   ],
   "vendor_support": []
  },
  "sdk": {
   "exists": "unknown",
   "languages": [],
   "official": "unknown"
  }
 },
 "name": "Cambio COSMIC",
 "platforms": [
  "windows",
  "web"
 ],
 "related": {
  "alternatives": [
   "dips",
   "cerner-oracle-health-millennium",
   "epic-ehr",
   "cgm-journal"
  ],
  "our_products": []
 },
 "schema_version": 1,
 "score_version": 1,
 "status": "active",
 "vendor": "Cambio",
 "verdict": {
  "best_path": "api",
  "scores": {
   "api": 5,
   "cli": null,
   "computer_use": null,
   "integrations": 0,
   "mcp": null,
   "overall": 5,
   "rpa": null
  },
  "summary": "Cambio COSMIC is automatable today through Cambio Open Services, a partner-gated B2B API surface into COSMIC. Most services are FHIR R4 profiles adapted to COSMIC; some remain REST, and Cambio states the long-term goal is to replace those with FHIR. The public FHIR implementation guide, generated 2026-06-18, covers appointments, encounters, care plans, medications, laboratory and radiology orders, referrals, vital signs, vaccinations, payments, and related resources, with both search and create operations on documented profiles. Writes go through COSMIC internal APIs so product business rules and versioning apply. Authentication on the current security guide is OAuth 2.0 client credentials only, plus an Azure API Management subscription key. Interactive SMART authorization-code launch is not available; public apps must sit behind a backend that holds the client secret. A sandbox with a complete COSMIC install and synthetic data is offered after innovators register, sign up, and have a Partner's API subscription activated. Production use is B2B: the information owner must approve consumers, and clinical-safety and privacy rules still govern every write. Zapier, Make, Microsoft Power Automate, and n8n had no COSMIC connector on 2026-08-21. Official MCP registry hits for \"cosmic\" are Cosmic JS and an unrelated compass server, not Cambio COSMIC. Vendor documentation does not settle first-party MCP ownership. No official SDK, general CLI, or computer-use probe was established. Sibling Cambio products such as Viva, CIS, MittVaccin, and FRISQ are outside this record.\n"
 }
}