SOVEREIGN MEDICAL AI
AI that runs inside the healthcare facility, not across the border.
This deck describes the target operating model we are building toward.
Oction Labs builds private, auditable AI infrastructure for Canadian healthcare organizations. The models, the data, and the audit trail stay on your network.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS01 // THE ISSUE
THE REAL BOTTLENECK IS GOVERNANCE, NOT MODELS
Canadian health AI is governance-constrained, not technology-constrained.
- A 2026 review cited by Vector Institute found 50% of medical AI studies tested models on exam-style questions and only 5% on real-world clinical data. The gap is trust and oversight, not raw accuracy.
- Health Canada regulates AI as a medical device, but national post-market surveillance and performance dashboards remain aspirational. Safety is a shared responsibility the regulator cannot close alone.
- Physician adoption of administrative AI is running ahead of liability and accountability clarity (CMA survey data, 2024).
The winning vendor is the one that makes AI provable, local, and auditable. That is the problem Oction is built to solve.
Sources: Vector Institute Toolkit v2.0; Health Canada AI-enabled medical device guidance (2024); CMA National Physician Health Survey (2024).
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS01 // THE ISSUE
THE PROBLEM - TWO BAD OPTIONS
Health leaders are forced to choose between capability and control. They should not have to.
01
Cloud AI tools (scribes, chat, copilots)
What it gives youFast features, broad capability
What it costs youPatient data leaves the building; cross-border exposure under the US CLOUD Act; per-token cost that scales with use
02
Governance-only platforms
What it gives youRisk registries, monitoring, audit trails
What it costs youThey govern AI but do not run it; procurement buys process, not clinical outcomes
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
THE THIRD WAY - OCTION
A sovereign medical AI layer: the AI runs inside the healthcare organization, on organization-controlled hardware, and stays auditable.
- Models, memory, and data pipelines run on the customer network. Sensitive patient data stays local.
- Every output is grounded in authorized clinical sources and is fully traceable for governance and liability review.
- Pricing is a predictable site license, not a cloud token meter.
- We do not ask healthcare organizations to trust a cloud vendor's privacy pledge. We remove the need for that trust.
We are not a governance dashboard and we are not a cloud scribe. We are the layer that runs the AI and proves what it did.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
WHAT WE DELIVER - FOUR PILLARS
One platform, four capabilities that map directly to Canadian health privacy law.
Data stays local
On-premise de-identification, differential-privacy budgets, and synthetic data generation before anything leaves the premise. Share insights without sharing patients.
Retrieval speed
Policies, protocols, formularies, imaging reports, and discharge summaries become queryable on local hardware, with no external API calls or rate limits.
Trustable output
Every answer cites its source documents and is constrained by a domain knowledge graph. Confident wrong answers are the thing healthcare cannot afford.
Broad applicability
One layer supports documentation, knowledge retrieval, research data sharing, and operational analytics rather than a single point tool.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
PILLAR 1 - DATA NEVER LEAVES THE PREMISE
Sovereignty by architecture, not by contract clause.
- Patient data is de-identified and protected locally; differential-privacy budgets are tracked and audited.
- Synthetic datasets enable multi-site research without exposing re-identifiable records.
- No reliance on cloud-vendor privacy pledges or cross-border legal exemptions.
- This is the structural answer to PHIPA, HIA, FIPPA, Law 25, and PIPEDA at once: minimize, localize, and prove it.
The Canadian privacy-preserving ML research base is real (CHEO/uOttawa synthetic data, Waterloo differential privacy) but rarely in routine clinical use. Oction productizes it.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
PILLAR 2 - SPEED WITHOUT CLOUD LATENCY
Every clinical record becomes queryable on local hardware.
- Local vectorization across policies, protocols, formularies, and reports.
- No external API calls, rate limits, or service interruptions.
- Scales from a single healthcare facility to a provincial health authority.
Honest status: target average query latency is sub-second on commodity on-premise hardware (target, not yet a measured clinical-corpus result). A baseline benchmark on a representative clinical corpus runs in Month 1 of the first health-system pilot.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
PILLAR 3 - TRUSTABLE, AUDITABLE OUTPUTS
Healthcare cannot deploy AI it cannot audit.
- Answers cite the authorized sources they are grounded in.
- A domain ontology constrains output to medically appropriate concepts.
- Every output writes an audit trail for clinical governance and liability review.
- A built-in eval loop monitors drift, accuracy, and safety over time.
Honest status: source-citation rate and hallucination reduction are target metrics, validated in the first pilot against a baseline LLM using a domain eval suite of 100 to 200 clinical question-answer pairs. We report the measured numbers, not the marketing numbers.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS02 // OUR PLAN
PILLAR 4 - ONE PLATFORM, MANY WORKFLOWS
The same local layer powers the full clinical AI roadmap.
Clinical knowledge retrieval
Instant, source-cited answers from healthcare organization protocols, policies, and formularies
Ambient documentation
Local speech-to-text plus structured note generation, EMR-bound
Research data sharing
Synthetic and differentially private datasets across sites
Operational analytics
Patient flow, capacity, and quality reporting with no cloud exposure
Clinical decision support
Source-grounded suggestions inside the EMR (later phase, after documentation and retrieval are proven)
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS03 // THE MARKET
WHY CANADA, WHY NOW
Four forces make sovereign medical AI a near-term procurement reality, not a thesis.
- Fragmentation creates demand13 provincial and territorial systems, each with its own privacy law, EHR vendor, and consent model. A neutral, sovereign infrastructure layer is the structural fit.
- Regulatory pullPHIPA, HIA, FIPPA, Law 25, and PIPEDA all push toward data minimization and local processing. The US CLOUD Act makes cross-border cloud a documented risk.
- Funder momentumCanada Health Infoway, Vector Institute, CIHR, and IRAP are actively funding health AI governance, scribes, and interoperability.
- Proof the market is liveInfoway's AI Scribe Program enrolled 10,554 primary care clinicians and captured 708,654 clinical encounters by Aug-Sep 2025. This is the largest federally funded health AI deployment in Canadian history.
Sources: Canada Health Infoway AI Scribe Program (2025); CIHI / Infoway interoperability frameworks.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS03 // THE MARKET
PROOF THE MARKET WORKS - CANADIAN OUTCOMES
Canadian health AI already saves lives. The blocker is governable, sovereign infrastructure to scale it.
01
CHARTWatch (Unity Health Toronto)
26% reduction in unanticipated in-hospital deaths; peer-reviewed in CMAJ, Sept 2024; 13,649 patients studied
SourceCMAJ; Unity Health Toronto
02
Infoway AI Scribe Program
10,554 clinicians enrolled; 708,654 encounters captured; 49% active users by Aug 2025
SourceCanada Health Infoway
03
Alberta Connect Care
Province-wide Epic live across 155+ AHS sites since Nov 2024; only health-authority-scale Epic in Canada
SourceAlberta Health Services
04
Vector Toolkit v2.0
Frames Canadian health AI as governance-constrained, not technology-constrained
SourceVector Institute
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS03 // THE MARKET
TARGET PARTNERS AND BUYERS
We enter through the buyers who own data risk and clinical workflow.
1
SegmentProvincial health authorities / academic healthcare organizations
Primary buyersCIO, CMIO, Chief Digital Officer, VP Research
Entry use caseClinical knowledge assistant; scribe pilot
2
SegmentMulti-site specialty healthcare facilities
Primary buyersPractice administrator, CMO
Entry use casePatient comms plus knowledge assistant
3
SegmentEHR / health-tech vendors
Primary buyersCTO, VP Product
Entry use caseEmbedded AI module on Oction's local layer
4
SegmentClinical research networks
Primary buyersVP Research, data governance lead
Entry use caseSynthetic data and multi-site sharing
Anchor region for the first pilot: Alberta. Province-wide Epic (Connect Care), single health authority (AHS), and active Amii Health Innovation Lab support reduce integration and procurement friction.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
THE PILOT - PHASED, LOW-RISK, MEASURABLE
Start with the safest, highest-trust use case. Earn the right to the clinical ones.
Phase 1: Clinical Knowledge Assistant (Months 1 to 4)
- Local RAG over healthcare organization policies, protocols, and drug formularies.
- First usersnurses, residents, pharmacists. No diagnosis, no patient-facing risk.
- 90-day paid pilot scoped to one health authority, healthcare facility, or research site.
Phase 2: Ambient Documentation / Scribe (Months 4 to 8)
- Local speech-to-text plus structured notes; EMR integration via HL7 FHIR and CA Core+.
Phase 3: Research Data Sharing (Months 8 to 12)
- Synthetic data and differential privacy for multi-site studies.
Phase 4: Embedded Clinical Decision Support (Year 2)
- Source-grounded CDS inside Epic, Cerner, or Meditech workflows.
We deliberately lead with documentation and retrieval, not diagnosis, to keep clinical liability low while trust is built.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
PROOF WE CAN DEPLOY - PHASE 0 IS LIVE
This is not a slideware company. The architecture is running in a regulated Canadian environment today.
- Phase 0 deployment is livean enterprise-grade geotechnical knowledge assistant runs on Oction's on-premise stack in a regulated Canadian enterprise.
- The same architecture targeted for healthcare organizations is operational now: local LLM proxy, memory API, vector store, and cache, all on controlled infrastructure.
- A NIST 800-53 security baseline is implemented, documented, and audit-ready.
- Healthcare is the next vertical, not the first attempt. The on-premise pattern is already proven in production.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
WHAT A PILOT LOOKS LIKE
A measurable 90-day pilot, designed to prove sovereign AI on a healthcare organization's own terms.
What a partner gets:
- A sovereign AI layer running on their hardware, their data never leaving the premise.
- A measured benchmark reportlatency, source-citation rate, and hallucination reduction on their corpus.
- No cloud lock-in and no per-token meter.
How a pilot runs:
- One clinical use case (policy and protocol retrieval is the recommended start).
- A data-governance and clinical sponsor on the healthcare-organization side.
- A representative corpus to benchmark against.
The point of the pilot is simple: show that private, auditable AI works inside a Canadian healthcare organization, measured on real clinical material.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
APPENDIX - PROOF POINTS WE WILL MEASURE IN THE PILOT
We label targets as targets. These convert to validated claims during Phase 1.
Query speed
Target< 1,000 ms p95
Validation methodBenchmark on representative clinical corpus
TimelineMonth 1
Source-citation rate
Target> 90%
Validation methodAutomated eval on 100 to 200 clinical Q&A pairs
TimelineMonth 2
Hallucination reduction
TargetMeasurable vs. baseline LLM
Validation methodDomain-specific eval suite
TimelineMonth 2
Cost predictability
Target30 to 50% TCO reduction vs. cloud API
Validation methodTCO model vs. cloud spend
TimelineMonth 4
Privacy guarantee
TargetDifferential-privacy budget honored
Validation methodThird-party DP audit
TimelineMonth 6
All figures above are targets until measured in pilot.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
PART OF THE CANADIAN HEALTH-AI ECOSYSTEM
We are built to work inside Canada's existing health-AI institutions, not around them.
Vector Institute
Collaboration, compute, and talent in the Canadian AI ecosystem
Canada Health Infoway
Connected Care and AI Scribe trust-framework alignment
NSERC Alliance
Academic work on differential privacy in health data
CIHR
Clinical AI safety and implementation-science research
Provincial health authorities
The buyers and reference sites our stack is designed for
Our architecture is designed to meet the standards these institutions set, so a deployment fits the way Canadian healthcare organizations already evaluate and adopt technology.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS04 // WHY IT WORKS
TEAM AND THE GAP WE ARE CLOSING
Deep systems and infrastructure depth. One named gap, openly stated.
01
Brandon Gill
RoleCo-Founder / CEO
FocusSales, partnerships, capital strategy, government alignment
02
MJ Dewji
RoleCo-Founder
FocusStrategic oversight, capital deployment, long-term positioning
03
Leonel Garcia
RolePartner / COO (internal ops)
FocusInternal ops; healthcare delivery lead; clinical workflow validation and health-authority relationships
04
Shamir Cheema
RolePartner / CRO
FocusRevenue operations and commercial strategy
05
Augustin Gentile
RoleStrategic partnerships and new business revenue
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS05 // OUR MOAT
WHERE WE FIT - COMPETITIVE LANDSCAPE
No competitor combines on-premise model execution, data sovereignty, and privacy-preserving sharing in one Canadian-built platform.
Signal 1 (AIMS)
ModelCloud governance platform
Their strengthHealthcare-native risk management; CHAI partner; Trillium and Inova references
The gap we closeGoverns AI but does not build or run models on-premise; no native Epic/Cerner integration disclosed
Qualified Health
ModelCloud enterprise AI platform
Their strength$125M Series B; major US logos; build plus govern
The gap we closeCloud-hosted; built for large US systems, not Canadian data residency
TrueEdge AI
ModelOn-premise edge AI
Their strengthOn-premise cardiology imaging
The gap we closeNarrow imaging focus; limited platform breadth and data-sharing
EliseAI
ModelCloud patient-comms automation
Their strengthFront-office efficiency
The gap we closePatient data leaves the healthcare facility; non-clinical scope
Azure OpenAI / AWS HealthLake
ModelCloud LLM and data services
Their strengthBroad features, enterprise sales
The gap we closeData crosses borders; cost scales with usage
Oction's lane: on-premise execution plus sovereignty plus privacy-preserving sharing, built in Canada for Canadian law.
Oction Labs has not entered into any service or revenue contracts under the company to date.
OCTION LABS
Built in Canada. Deployed on your network. Governed from day one.
Brandon Gill, Co-Founder & CEO: brandon@octionagency.com
Leonel Garcia, Partner & COO (internal ops & healthcare delivery): leonel@octionagency.com
Oction Labs has not entered into any service or revenue contracts under the company to date.