One patient. One record. Coordinated handoffs at every step.

Medtronic LABS is a nonprofit health systems innovator with a mission to expand access to care for patients across the world. Formed in 2012 in partnership with Medtronic, we design and implement operating intelligence for health systems — combining strategy, technology, and in-country execution to unlock sustainable impact at scale.

We work with Ministries of Health and health systems to achieve meaningful improvements in population health outcomes through intelligent enhancement of existing digital infrastructure and care delivery models, starting with primary care.

5 million people die each year in low- and middle-income countries from poor-quality care — not from lack of access, but from fragmented systems that fail to coordinate and act.

The gaps are predictable and preventable:

The result: patients fall through the cracks. A woman with diabetes is screened in her community, referred to a facility, prescribed medication — and told to return in 30 days. Six months later, her blood glucose is uncontrolled and complications begin. No one followed up. No one knew she hadn't returned.

Medtronic LABS offers an integrated portfolio for health system transformation across the full digital maturity journey — from early digital foundations to advanced, AI-enabled ecosystems.

SPICE is an open-source, certified Digital Public Good and Global Good for Health deployed in 8 countries. It transforms how patients are identified, managed, and supported across the community-to-facility care continuum.

Five core capabilities:

1. Intelligent Screening & Case Finding — Guideline-based eligibility, auto-interpretation, smart referral workflows
2. Care Quality & Decision Support — Risk stratification, longitudinal trending, dosing support, treatment nudges, care gap alerts
3. Care Continuity & Follow-Up Automation — Referral tracking, missed-visit workflows, structured follow-up
4. Patient Engagement & Behavioral Support — Personal health profile, vitals trends, device integrations, behavioral nudges
5. Population Health Intelligence — Care cascades, risk tracking, facility benchmarking, workforce analytics

Four platform modules:

SPICE 2.0 expands clinical coverage to the full primary care spectrum: malaria, ANC, PNC, child health, iCCM, TB, HIV, and immunization — built to WHO and national guidelines, with offline-first CHW workflows.

The CCE is a protocol-based open network that intelligently connects existing digital systems for longitudinal care coordination. It doesn't replace systems — it orchestrates them.

Observe → Detect → Act

The CCE reads events from existing EHRs and HIEs, identifies critical breaks (missed follow-ups, lost referrals, protocol drift), and drives time-bound actions to the right stakeholder — automatically.

What it enables: closed-loop referrals · care gap monitoring · escalation ladders · point-of-care guidance · performance-based financing integration

See the openphc org for CCE source code.

For governments ready to transform at a national scale, LABS provides end-to-end advisory and execution: landscape assessment, stakeholder alignment, architecture blueprints, tech stack configuration, pilot, and institutionalization — turning a digital health plan into a functioning national system.

Through April 2026

Clinical outcomes (peer-reviewed):

• −15.2 mmHg reduction in systolic blood pressure (uncontrolled hypertension cohort) — Journal of Hypertension
• −17.6 mmHg reduction in systolic blood pressure — Journal of Clinical Hypertension
• 19% improvement in hypertension control rates across 84,700 patients in 6 countries
• Meaningful HbA1c reduction in 32,000+ diabetic patients across 6 countries

Active programs: Ghana · Kenya · Sierra Leone · Tanzania · Rwanda · Bangladesh · United States

All SPICE source code is open-source under BSD-3-Clause. The platform is modular — teams can deploy individual components or the full stack.

Full SPICE platform documentation is at spice.docs.medtroniclabs.org, covering architecture, clinical workflows, deployment guides, API references, and interoperability patterns.

More about our technology platform at medtroniclabs.org/technology-platform.

SPICE is built with security and privacy by design — compliant with GDPR, HIPAA, and all regional regulations in countries of operation.

• All data encrypted at rest and in transit
• Reporting data de-identified before landing in the secure data warehouse
• Role-based access controls with regular access audits
• Regular assessments against the latest privacy and security standards
• Government-owned by design — no vendor lock-in; your system, your data

SPICE is open infrastructure for governments, health systems, and digital health implementers worldwide.

• 📖 Read the documentation
• 💻 Explore the repositories
• 🌐 Learn more at medtroniclabs.org
• 📧 Reach us at developer@medtroniclabs.org
• 💼 LinkedIn · YouTube