Clinic Operations SPA
One responsive staff portal for intake queues, TB risk assessments, TBI visits, vitals, orders, and structured clinical documentation.
Public Health Clinic Workflow Platform
The initial MVP modernizes a TB clinic workflow without forcing replacement of proven public health data infrastructure. It gives clinical users one browser-based workspace for intake review, risk assessment, treatment support, medication interaction review, and AI-assisted clinical documentation.
Medication Safety Review
A deterministic DDI, DFI, and botanical interaction database with pharmacist review workflows and literature suggestion queues.
AI-Assisted Documentation
Clinical summaries and SOAP-note drafts are generated as advisory content for qualified staff to review, edit, sign, and retain.
Technology Architecture
Security hardening and formal privacy review are still in progress. This prototype is not approved for live patient data; the target architecture includes private infrastructure, role-based access, auditability, and retrieval-grounded AI output.
GKE + MedGemma + vLLM
Google Kubernetes Engine hosts the application services and the planned medical AI inference layer. Initial testing uses Google's open-source MedGemma model family served through vLLM, with GPU workloads designed to spin up and down automatically to control MVP evaluation cost.
GKE
MedGemma
vLLM
Automated GPU scaling
Containerized MVP
RAG + Legacy EHR Bridge
Retrieval-augmented generation keeps policy and clinical guidance in governed source material while YottaDB/VistA integration preserves existing public health records and workflows.
RAG
YottaDB
VistA
MCP-oriented integration
AI-assisted outputs are advisory. The platform is designed so licensed clinical staff retain final clinical authority, with review, signing, and audit workflows built into the user experience.
Founding Team
Carl Lordo
Founder and Lead Developer. Leads product architecture, deployment engineering, VistA/YottaDB integration, and the SPA implementation for the public health TB MVP.
Karen Rogers, RN, BSN
Clinical Subject Matter Expert. Brings over 25 years of public health experience and guides workflow fit, TB clinical context, and nurse-facing usability.
Contact
Business Contact
Email: delcastle@aigateway.com
Location: Nashville, Tennessee
Portal Access
Authorized synthetic-evaluation reviewers can access the staff portal. The patient kiosk, PharmD reviewer portal, and device-test harness remain disabled until separately reviewed and acknowledged.