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Open to remote AI-architect & health-tech AI roles · IST
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Open to remote AI-architect & health-tech AI roles · IST

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Raviteja2k2k/README.md

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)

Dr. Ravi Teja Thiriveedhi — clinician turned AI systems architect. Health-tech AI · Forward-deployed AI engineering · AI governance.

Architect of 24 production AI agents · Cut LLM heartbeat spend by 91% · 20 years running hospitals and clinics · DICOM to 3D-printed surgical models

626 commits on Empire OS · 2 production AI platforms · 24 production agents · 99/99 release-gate suites (v1.3.0) · −91% heartbeat token spend · 20 years clinical and hospital operations

Hello, I'm Ravi

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.

Measured, not claimed. Heartbeat tokens a day 12.0 M to 1.0 M; memory search latency 48 s to 2.8 s; gateway CPU 209% to 4%; critical security findings 8 to 0; extraction cost per message about 38k to about 4k tokens.

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.

Showcases at a glance

WhatsApp agent case study: 15-agent platform, 460+ leads, 284 owner-approved follow-ups, −91% heartbeat tokens
WhatsApp agent case study · live demo
Agent governance kit: autonomy levels L0–L4, risk classes R0–R4, mapped to OWASP, NIST AI RMF and ISO/IEC 42001
Agent governance kit · live demo
LLM token economics: heartbeat tokens cut from 12.0 M to 1.0 M a day (−91%) with 18 methods
LLM token economics · live demo
Empire OS reference architecture: 9 governed AI agents on an 8 GB Mac mini, 99/99-suite release gate
Empire OS reference architecture · live demo

Hire me for

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

What I've built in 2026

Tejas Empire OS

Self-hosted multi-agent AI operating system that runs my businesses.

  • 9 live agents with routing, delegation and human-approval tiers
  • 626+ commits, 8 releases in 7 days (v1.0.0 → v1.3.0, 7–13 Oct 2026), 99/99 release gate, 1,026 automated tests with 0 failures
  • ADR-driven: 12 founding decisions, 56 design documents
  • Runs on a 2012 Mac mini (8 GB) under a written RAM budget and memory governor

Real-estate AI operations platform

Built for a Hyderabad brokerage (client anonymised). Live since June 2026.

  • 15 agents on the WhatsApp Business API and Telegram
  • 460+ leads captured, qualified and followed up; single-writer SQLite spine
  • Heartbeat tokens 12 M → 1 M a day (−91%); ₹0 marginal API cost per lead
  • 129 bugs fixed with cause, fix and lesson; 75 lessons, 61 reused

Dental WhatsApp Front Desk

Administrative-only assistant for small dental clinics.

  • Consent-first (DPDP), never diagnoses or advises; urgent words trigger emergency wording
  • HMAC-verified webhooks, replay protection, quarantine on corrupt state
  • 17 offline tests, including a signed 14-day synthetic pilot

Clinical engineering

Two decades of building where the textbook ran out.

  • DICOM / CBCT → STL → 3D-printed models: treatment acceptance +50–60%
  • Compressed-air PPE isolation suite that kept a clinic open in 2020, at 50–60% lower PPE cost
  • WhatsApp and Telegram clinic bots on n8n since 2024

Architecture at a glance

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
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How I build

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
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Latest

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

Updated automatically by GitHub Actions.

Activity

3D contribution calendar
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

Contact

LinkedIn · Email · Website · Hyderabad, India · open to remote roles (IST, UTC+5:30)

Contribution snake animation

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.

Pinned Loading

  1. sterilefield/whatsapp-agent-case-study sterilefield/whatsapp-agent-case-study Public

    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.

    Python

  2. sterilefield/agent-governance-kit sterilefield/agent-governance-kit Public

    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.

    Python

  3. sterilefield/llm-token-economics sterilefield/llm-token-economics Public

    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.

    Python

  4. sterilefield/empire-os-reference-architecture sterilefield/empire-os-reference-architecture Public

    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.

    Python