Dr. Ravi Teja Thiriveedhi · clinician turned AI systems architect · I design, ship and govern production multi-agent systems, with 20 years of clinical practice and hospital operations behind every decision. Hyderabad, India · open to remote roles (IST, UTC+5:30).
Start here: WhatsApp agent case study (a live client system) · Agent governance kit · LLM token economics · All showcases
Try the live demos (invented data, run in your browser): Agent governance gate · Owner approval desk · Heartbeat token calculator · Control plane playground
Contact: dr.raviteja1981.new@gmail.com · LinkedIn · Website · private walkthroughs of my own production systems on request, under NDA (client systems only with the client's permission)
For twenty years I ran the operating side of healthcare: I treated patients, founded two healthcare facilities and ran a third as senior administrator, and wrote the SOPs, audits and financial controls that kept them safe and solvent. In 2026 I brought that operator discipline to AI. I now design, ship and govern production multi-agent systems — and make them pay for themselves.
Note
Most of my production work is private (client systems and my own platform). The contribution graph shows that activity; the case studies below explain it. Sanitised public showcases are published under Sterile Field — clean-room engineering for healthcare AI — as each one passes a five-gate release check.
![]() WhatsApp agent case study · live demo |
![]() Agent governance kit · live demo |
![]() LLM token economics · live demo |
![]() Empire OS reference architecture · live demo |
| Track | What I bring | Evidence |
|---|---|---|
| 🩺 Health-tech AI | 20 years of clinical and hospital operations, plus AI built for regulated care: consent-first, no clinical advice, human hand-off | WhatsApp case study (human takeover, owner-approved messaging) |
| 🚀 AI startups · forward-deployed | Two production multi-agent platforms shipped spec-first with Claude Code and Codex, from architecture to on-call | Empire OS reference architecture · WhatsApp case study |
| 🛡️ AI governance | Autonomy levels, risk classes, kill switches, approval gates, audit trails; OWASP Agentic Top 10, NIST AI RMF and DPDP mapping | agent-governance-kit |
| 💸 LLM cost engineering | 46 token-economics methods across 5 layers (18 published in llm-token-economics); measured before/after on live systems |
llm-token-economics: −91% heartbeat tokens · ₹0 marginal API cost per lead |
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Self-hosted multi-agent AI operating system that runs my businesses.
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Built for a Hyderabad brokerage (client anonymised). Live since June 2026.
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Administrative-only assistant for small dental clinics.
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Two decades of building where the textbook ran out.
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flowchart LR
subgraph T1["Tier 1 · Seat (MacBook M3)"]
P["Planner<br/>Claude"] --> B["Builders<br/>Claude Code · Codex"]
end
subgraph T2["Tier 2 · Control plane (2012 Mac mini, 8 GB)"]
G["OpenClaw gateway<br/>9 governed agents"] --- GOV["Governor · kill switch<br/>approvals · audit log"]
G --- OBS["Telemetry · alerts<br/>backups · DR drills"]
end
subgraph T4["Tier 4 · Client edge nodes"]
C["Client platform<br/>15 agents · WhatsApp · Telegram"]
end
subgraph T5["Tier 5 · Free cloud"]
GH["GitHub · encrypted Drive<br/>Tailscale · Telegram"]
end
B -- "test-gated releases" --> G
G -- "one-way observation" --> C
G --> GH
I practise disciplined vibe coding: I write the spec, the acceptance criteria and the guard rules; AI coding agents write the code; I own architecture, review, testing, release and operations.
flowchart LR
S["Spec + task card<br/>acceptance criteria"] --> A["AI builder<br/>under guard rules"]
A --> R["Independent review<br/>agent or adversarial pass"]
R --> T{"Release gate<br/>all suites green?"}
T -- yes --> SHIP["Tagged release<br/>+ evidence file"]
T -- no --> S
Public showcases
- 🧪 sterilefield/empire-os-reference-architecture — Reference architecture: 9 governed AI agents on an 8 GB Mac mini, 99/99-suite release gate, 1,026 tests. Sanitised showcase of Empire OS.
- 🧪 sterilefield/llm-token-economics — Case study + playbook: an AI agent fleet cut heartbeat tokens 12.0M to 1.0M a day (-91%). 18 methods across 5 groups, with measured before/after.
- 🧪 sterilefield/whatsapp-agent-case-study — Anonymised case study: a 15-agent WhatsApp and Telegram operations platform for a real-estate brokerage. Single-writer data spine, human-in-charge policy, −91% heartbeat tokens.
- 🧪 sterilefield/agent-governance-kit — Autonomy levels, risk classes, approval tiers, kill switches and audit for AI agents, mapped to OWASP Agentic Top 10, NIST AI RMF and ISO/IEC 42001, with a healthcare overlay for India.
Latest releases
- 🚀 llm-token-economics v0.2.0 · 2026-10-21
- 🚀 agent-governance-kit v0.2.0 · 2026-10-21
- 🚀 whatsapp-agent-case-study v0.2.0 · 2026-10-21
- 🚀 empire-os-reference-architecture v0.2.0 · 2026-10-21
- 🚀 agent-governance-kit v0.1.0 · 2026-10-14
Updated automatically by GitHub Actions.
Career record · 20 years of clinical, operational and entrepreneurial work
| Years | Role |
|---|---|
| 2026 – now | Architect and operator, Tejas Empire OS; architect and builder of a client AI operations platform |
| 2019 – now | Founder and lead engineer, INGENIUM 3D (clinical 3D printing studio) |
| 2010 – 2025 | Founder and chief dental surgeon, DV Dental Hospital & Implant Centre (team of 26) |
| 2010 – now | Senior administrator, Manjary Nursing Home |
| 2007 – now | Founder · senior clinical systems architect · senior administrator and dental surgeon, Manjary Dental Care Centre |
| 2013 – 2019 | Founder and CEO, Shree Manjary Medical Agency (clean exit) |
| 2006 – 2010 | Associate dentist → branch head → regional clinical administrator, a 9-branch dental hospital group |
Education: BDS, Rajiv Gandhi University of Health Sciences (course 2000–2005, internship 2006); registered dental surgeon, AP State Dental Council (since 2010). Languages: English, Telugu, Hindi, Kannada.
Toolbox
Languages and platforms: Node.js · Python · TypeScript · React · Vite · SQLite · Git · GitHub Actions · Docker · Figma · Linux · macOS AI and agents: Claude (Code, MCP, Projects) · OpenAI GPT and Codex · Gemini · OpenClaw · MCP servers · open-weight models via Ollama · RAG (LanceDB, ChromaDB, LlamaIndex) · promptfoo evals Ops: macOS launchd · Tailscale · GitHub Actions · gitleaks · osv-scanner · Playwright · backups and DR drills Integrations: WhatsApp Business API · Telegram · Google Workspace APIs · n8n Clinical tech: DICOM / CBCT → 3D printing (Bambu, OrcaSlicer) · EMR
LinkedIn · Email · Website · Hyderabad, India · open to remote roles (IST, UTC+5:30)
Engineering numbers come from the linked repositories, release notes and case studies. Operational figures are from my own records and are not independently audited. Graphics are generated by this repository's own workflows.




