Last updated: 16 September 2026
These Terms of Service (“Terms”) govern your access to and use of the Synura platform (“Platform”, “Service”) operated by Praxivox Limited, a company registered in England and Wales (company number 16988015) with its registered office at 71-75 Shelton Street, Covent Garden, London, WC2H 9JQ (“Praxivox”, “we”, “us”, “our”).
By using the Service, you agree to be bound by these Terms. If you are entering into these Terms on behalf of an organisation, you represent that you have authority to bind that organisation, and “you” refers to that organisation. Where you have signed a written agreement with Praxivox for the Service, that agreement prevails over these Terms if they conflict.
Synura is a health data exchange platform providing message translation, routing and delivery.
Synura operates as a data transport and translation layer. It receives healthcare messages from sending systems, translates them between supported formats according to published standards, and routes them to configured destination systems. Synura does not interpret, validate or act upon the clinical content of messages. The sending and receiving systems are responsible for the clinical validity, completeness and appropriateness of the data they transmit and receive. Synura is not a medical device, a clinical decision support system or a clinical information system. Nothing in the Service constitutes clinical advice. Healthcare regulatory frameworks that apply to clinical systems, including DCB0129 and DCB0160, do not apply to Synura in its capacity as a data transport service. This position is set out in full in our Clinical Safety Disclaimer, available on request.
Accounts are set up by Praxivox as part of an agreed engagement. We may provide a sandbox environment in which you can configure endpoints, mappings and connections before any live data flows.
You must provide a valid email address and verify it before accessing the Platform. You are responsible for maintaining the security of your account credentials. You must notify us immediately at hello@synura.io if you become aware of any unauthorised use of your account.
3.1 Engagements. The Service is provided under a written agreement with Praxivox, normally our Master Services Agreement and a Schedule of Work. The agreement sets out the connections we will provide, the track for each connection and any agreed service levels. Live data flow begins only once that agreement is in place.
3.2 Tracks. The Service is provided on two tracks, chosen for each connection:
3.3 Fees. Fees, billing frequency, payment terms and the length of your engagement are set out in your written agreement. Unless that agreement says otherwise, fees are in GBP and exclusive of VAT, which will be added where applicable. Praxivox VAT registration number: 514106241.
3.4 Renewal and Ending an Engagement. Renewal, notice periods and what happens when an engagement ends are set out in your written agreement.
3.5 Card Payments. Where an engagement is paid by card, payment is processed by Stripe, Inc. and Stripe’s terms of service apply to that payment. We do not store your payment card details.
You agree to use the Service only for lawful purposes and in accordance with these Terms. You must not:
We reserve the right to suspend or terminate your access if we reasonably believe you are in breach of this section.
We process personal data in accordance with our Privacy Policy. Where you use the Service to transmit personal data, Praxivox acts as a data processor on your behalf and you act as the data controller. Before any personal data flows through the Service, we sign a Data Processing Agreement (“DPA”) with you, and its terms govern that processing.
Health data transmitted through the Service may constitute special category data under Article 9 of UK GDPR. You are responsible for ensuring you have a valid lawful basis for processing this data and for transmitting it through the Service.
Message retention periods are set by the track for each connection: 7 days for Relay and 30 days for Translate (or longer where agreed in writing). Messages are automatically deleted after the applicable retention period expires. You may export your data at any time via the API.
All intellectual property rights in the Service, including the Platform, its software, APIs, documentation and branding, belong to Praxivox. These Terms do not grant you any rights in our intellectual property except the limited right to use the Service in accordance with these Terms.
Data you transmit through the Service remains your property. We claim no ownership rights over your data.
7.1 To the maximum extent permitted by law, Praxivox’s total aggregate liability to you for all claims arising out of or in connection with these Terms or your use of the Service shall not exceed the total fees paid by you to Praxivox in the 12 months immediately preceding the event giving rise to the claim.
7.2 Praxivox shall not be liable for any indirect, incidental, special, consequential or punitive damages, including loss of profits, data, business or goodwill, howsoever arising, even if we have been advised of the possibility of such damages.
7.3 Nothing in these Terms excludes or limits liability for: (a) death or personal injury caused by negligence; (b) fraud or fraudulent misrepresentation; or (c) any liability that cannot be excluded or limited by applicable law.
7.4 The Service is provided for data transport and translation purposes. Praxivox does not warrant that the Service is suitable for use as a component of any clinical system, clinical workflow or clinical decision-making process. You acknowledge that Synura is a data logistics service and that clinical responsibility for the content of messages remains with the sending and receiving systems at all times.
We aim to provide a reliable and available Service, but we do not guarantee uninterrupted access. We may perform scheduled maintenance with reasonable prior notice. Support response times and any service levels are those set out in your written agreement.
We may update these Terms from time to time. If we make material changes, we will notify you by email or through the Platform before the changes take effect. Your continued use of the Service after changes take effect constitutes acceptance of the revised Terms. If you do not agree with the changes, you may end your use of the Service in line with your written agreement.
We may modify, update or discontinue features of the Service. We will give reasonable notice of any change that materially reduces the functionality of the tracks you use.
We may suspend or terminate your access to the Service immediately if you materially breach these Terms, including failure to pay fees when due, breach of acceptable use, or if required by law.
On termination for any reason, you will have 30 days to export your data via the API. After 30 days, we will delete your data in accordance with our Privacy Policy and DPA.
These Terms are governed by and construed in accordance with the laws of England and Wales. Any dispute arising out of or in connection with these Terms shall be subject to the exclusive jurisdiction of the courts of England and Wales.
Praxivox Limited
71-75 Shelton Street, Covent Garden, London, WC2H 9JQ
Email: hello@synura.io
ICO Registration: ZC110347