Invisible visible among outpatients! Utilizing data driven care path/model where patient provides real time data including vital sign, activity/energy consumption, daily routines by using health tracker/sensors provides more quality to care and strengthens individual´s commitment to care process when changes in conditions are made visible for patient and care staff at the same time. Proven results are seeing as strengthened safety feeling which supports individuals activities which leads to decreased (-40%) usage of special care, most likely ER visits and decreased amount (-11%) of physicians visits without lack of care quality. Model utilizes modern API-interfaces, IoT-platform, AI powered care intervention suggestions provided by Predicell Ltd. API-interfaces makes the platform agnostic by its nature which opens possibilities to add new data sources f.ex patien monitoring systems. Open technical architecture opens an opportunity to add data from data lakes of hospitals. Open data lakes for anonymized patien data in Finland is unique opportunity to predict care paths and to support system shift towards value based care model. Service itself is constantly developing and scientific research is on-going. www.predicell.com