Technology & Architecture
Two decades of building healthcare systems has taught me what works at scale. Here's the technology powering Ambient Scribe and Phiniti.ai.
Ambient Scribe Architecture
Voice-First Capture
Ambient listening technology captures natural patient-provider conversations without disrupting clinical workflow. No buttons, no friction.
Real-Time Transcription
Medical-grade speech recognition with specialized vocabulary for clinical terminology, procedures, and medications.
AI Clinical Reasoning
Large language models trained on clinical guidelines generate structured SOAP notes, assessments, and care plans.
EHR Integration
Seamless bi-directional integration with major EHR systems. Pull patient context, push completed documentation.
frontend
iOS Native (SwiftUI)
Native Apple experience
Android Native (Compose)
Native Google experience
React/Next.js
Web dashboard & admin
TypeScript
Type-safe development
backend
AWS Serverless
Lambda, API Gateway
CloudFront CDN
Global edge delivery
Route53
DNS & routing
Real-time WebSockets
Live streaming
AI & Machine Learning
AWS Bedrock
AI/ML platform
Speech Recognition
Medical transcription
LLM Integration
Clinical note generation
On-Device ML
Edge AI processing
infrastructure
AWS
Full cloud infrastructure
Clerk
Identity & authentication
PagerDuty
Alerting & incident response
CI/CD Pipelines
Automated deployment
security
HIPAA Compliant
Healthcare data protection
End-to-end Encryption
Data in transit & at rest
SSO Integration
Enterprise authentication
BAA Ready
Business associate agreements
Technical Expertise
Healthcare Standards
EHR Integration
EHR Experience
Cloud & DevOps
Programming
Engineering Philosophy
Build for Scale, Ship Fast
- ✓Start with working software, iterate based on real feedback
- ✓Type safety and automated testing from day one
- ✓Cloud-native, serverless-first architecture
- ✓Observability and monitoring as core features
Healthcare-First Mindset
- ✓HIPAA compliance is non-negotiable, built into the foundation
- ✓Interoperability using modern standards (FHIR, SMART on FHIR)
- ✓Clinical workflows drive technical decisions, not vice versa
- ✓AI augments clinicians, never replaces clinical judgment
Want to Dive Deeper?
I love talking shop about healthcare technology architecture. Whether you're building an EHR integration or exploring AI in healthcare, let's connect.