# Big Picture Medical

**Canonical:** https://apis.io/providers/big-picture-medical/  
**Website:** https://www.bigpicturemedical.com/  
**APIs profiled:** 0

Big Picture Medical Limited is a London-based health technology company building what it calls a semantic execution layer for healthcare — a low-code platform, founded by emergency physician Dr Tom McKinnon and developed over roughly a decade inside live NHS services, that harmonises clinical data from different systems into openEHR-coded concepts, holds it with visible lineage and provenance, and turns recommendations from algorithms, agents and clinicians into governed, auditable actions in the systems a trust already runs. The product is assembled from four component types the company calls Blocks — UX, Mapping, Data and Orchestration — sold as two solutions: Care Workflow, for protocolised care pathways such as single points of access, virtual wards and chronic monitoring, and Data Workflow, a next-generation interoperability engine that connects data silos across openEHR, FHIR, HL7 and proprietary formats. It is live in the NHS at ICB level, integrates with EMIS and SystmOne, and connects to the NHS Network. Big Picture Medical publishes no public API contract, developer portal or SDK; its own G-Cloud 14 listing confirms a platform REST API exists and that its documentation is supplied to customers as a PDF.

## Kin Score — 24.7 / 100 (emerging)

Scored 2026-09-02 under rubric 0.18.0.

| Facet | Score |
|---|---|
| Discoverability | 50.0 |
| Contract Quality | 0.0 |
| Governance | 18.2 |
| Contract Governance | 18.2 |
| Operational Transparency | 5.3 |
| Developer Ergonomics | 0.0 |
| Commercial Clarity | 68.4 |
| Access Clarity | 68.4 |

Regulatory layer — **Health**: 40.0 (matched via tags).

## Agent readiness — 2.5 (human-only)

| Dimension | Value |
|---|---|
| Spec Presence | no |
| Agentic Access | no |
| Reversibility Documented | no |
| MCP Server | no |
| Auth Clarity | no |
| Idempotency | no |
| Error Semantics | no |
| OpenAPI Examples | no |
| Rate Limit Signal | documented |
| Event Surface Described | no |
| Agent Skills | no |
| Well Known Catalog | no |
| Consent Identity | no |
| Agent Card | no |
| Dry Run Mode | no |
| Delegated Identity | no |
| Protected Resource Metadata | no |
| Dynamic Client Registration | no |
| Agentic Commerce | no |

## Security (3)

- **Big Picture Medical Authentication** — 0 schemes
- **Big Picture Medical Domain Security** — TLSv1.3 · DMARC
- **Big Picture Medical Trust Center** — ISO/IEC 27001:2022, Cyber Essentials, HIPAA, GDPR, WCAG 2.1 AA

## Plans (1)

- **Big Picture Medical Plans Pricing**

## Tags

Company, Healthcare, Health Care, Electronic Health Records, openEHR, FHIR, HL7, Interoperability, Clinical Data, Care Pathways, Workflow, Orchestration, No Code, NHS, United Kingdom

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Profiled by [API Evangelist](https://apievangelist.com) and published on [APIs.io](https://apis.io/providers/big-picture-medical/). Scores are computed from the provider's own public artifacts under a published rubric.