The Platform
An orchestration plane for everything that happens around the EHR.
AHAI is a multi-tenant, AWS-native platform built on ECS Fargate, RDS PostgreSQL Multi-AZ, EventBridge, and KMS. It runs entirely inside your VPC boundary, integrates with AthenaOne through a self-hosted MedPlum FHIR R4 server, and never makes a clinical or financial decision on its own.
Architecture
Five layers. One control plane.
Interaction Layer
Patient and staff interactions across SMS, voice, chat, email, portal, and document upload — normalized into a single canonical request.
Control Plane (FR-0)
Identity, RBAC, TCPA consent, policy registry, immutable audit, and the platform-wide AI kill switch. Every request passes through it.
Workflow Layer
The six functional modules — communication, intake, scheduling, clinical engagement, AI documentation, and the work queue.
Integration Layer
EHR (AthenaOne via self-hosted MedPlum FHIR R4), payment processors, Twilio/Bandwidth, Availity, and AWS Textract.
Observability Layer
CloudWatch metrics, quantified SLIs, S3 Glacier audit retention, and operational dashboards.
Design principles
Built around six non-negotiables.
Orchestration-first
AHAI coordinates workflows. It does not replace systems of record.
Human-in-the-loop
Every clinical and financial action requires a verified human actor.
Centralized governance
FR-0 enforces identity, authorization, consent, and audit across every module.
Event-driven execution
All workflows flow through EventBridge with idempotency, retries, and DLQ governance.
Immutable auditability
Every action generates an append-only audit record. 7-year minimum retention.
System-of-record separation
Clinical data lives in AthenaOne. Payments live with the processor. AHAI orchestrates.
Want the technical deep-dive?
Our team can walk you through the SRD, the data model, and the deployment architecture in detail.
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