OPEN PROTOCOL · EXECUTABLE HUMAN MODELS

The interface to theexecutable human.

OpenBody is an open, model-neutral protocol for discovering, querying, simulating and exchanging uncertainty-aware computational representations of human biological state.

Record
Evidence
Twin
Model
Simulation
Computation
Authority
Separate
From records to models

Healthcare today records what happened. Tomorrow it models what happens next.

The EHR is primarily an event ledger and workflow engine. It provides observations to a clinician, who reconstructs the important model of the patient internally.

OpenBody moves that model into a continuously calibrated computational substrate: what is observed, what is inferred, what is uncertain, where the system is heading, and what a proposed intervention might change.

The hospital no longer needs to reconstruct the patient from scattered records. With permission, it can interrogate the patient's living model.

Protocol architecture

Seven planes. One computational body.

OpenBody sits above existing health-data standards. FHIR, DICOM, IEEE 11073 and GA4GH remain authoritative for their domains; OpenBody standardizes the computational semantics above them.

01

Observation Plane

Source-grounded measurements and events: ECG, CGM, labs, imaging, genomics, medication, symptoms and environment.

02

State Plane

What we currently believe about the body — explicitly temporal, evidence-linked and uncertainty-aware.

03

Model Plane

Discoverable statistical, causal, mechanistic, PK/PD, physiological, cellular and hybrid models.

04

Simulation Plane

Execute counterfactual perturbations and compare plausible futures before touching the real human.

05

Evidence Plane

Every computational claim carries provenance, epistemic class, uncertainty, applicability and abstention semantics.

06

Authority Plane

Reasoning and action remain separate. A model may propose; authorization governs what may actually happen.

07

Federation Plane

The best cardiac, metabolic or genomic model can come from different providers and evolve independently.

Society of organs

Not one model. A federation of specialists.

A person's twin can combine the best available model for each biological subsystem, from molecular and cellular dynamics to organ physiology and whole-body coupling.

01
Cardiovascular
02
Metabolic
03
Neurological
04
Endocrine
05
Immune
06
Renal
07
Hepatic
08
Pulmonary
09
Gastrointestinal
10
Musculoskeletal
11
Molecular
12
Genomic
Executable twin

Observe → understand → predict → simulate → intervene → measure → learn.

Counterfactual request
POST /v1/simulations
{
  "subject": "subject:local-demo",
  "perturbation": {
    "kind": "behavior",
    "description": "Walk 15 min after dinner"
  },
  "requested_scopes": [
    "ob://human/metabolic/glucose_regulation"
  ],
  "horizon_seconds": 7200
}
Governed response
Baseline future
Persistence trajectory + uncertainty envelope
Counterfactual
Personal response model output
Evidence
Bound observations + producing model receipts
Uncertainty
Explicit, never silently narrowed
Applicability
Subject · scope · horizon · validation boundary

Abstention is a first-class result.

If subject, evidence, model capability, biological scope, horizon, provenance or authority cannot be proven, OpenBody does not improvise. It returns an explicit governed abstention.

Biological addressing

A coordinate system for the computational human.

OpenBody Coordinates give models, evidence, state and perturbations a common way to say where in the human they apply.

ob://human/cardiovascular/heart/left_ventricle
ob://human/metabolic/glucose_regulation
ob://human/endocrine/pancreas/beta_cell
ob://human/neural/autonomic/vagus
ob://human/proteome/PCSK9
The human interface stack

Person. Biology. Authority.

OpenBody is one layer in a broader architecture for AI systems that reason about and act for a human without collapsing identity, biology and authority into one unsafe interface.

Person

OpenMind

Identity, memory, preferences, goals, experience and context.

Biology

OpenBody

State, evidence, biological models, trajectories and simulation.

Authority

Mandamus

Delegation, authorization, consent and governed action.

The record is evidence. The twin is the model.

OpenBody is building the interoperable runtime between humans, digital twins, frontier biological models, AI systems and clinical infrastructure.