Altriva Technology Management builds and operates the software behind a multi-state physician practice, then applies the same team and discipline to select outside projects.
A billing and charge-capture platform for clinical workflows, used daily in production across a multi-state medical practice. Node.js/Express services backed by PostgreSQL, with a React front end. Uses Google Cloud Vision and Speech-to-Text to pull structured charge data out of scanned and dictated clinical documentation, and Gemini and OpenAI models for downstream classification and drafting support.
A clinical note-writing and decision-support tool built on Next.js and TypeScript, with Prisma over a relational database. Combines a structured diagnosis/plan library with Gemini-backed drafting and Google Cloud Speech dictation, so a clinician's spoken or typed input turns into a structured note in real time. In daily use by practicing clinicians.
Local, privacy-preserving capture of clinical data out of legacy EMR systems, using OCR plus a locally-hosted vision-language model rather than sending protected health information to a third-party API. Feeds a retrievable lite-EMR store that Codana and MacroMate Pro build on.
Every product above ships AI as a working feature, not a demo: Vision and Speech-to-Text for document and audio capture, Gemini and OpenAI models for structured extraction and drafting, and a self-hosted vision-language model where sending data to a third party isn't an option. We also build with AI-assisted development tooling day to day, which is a meaningful part of how a small team ships this much production software.
TypeScript and Next.js (App Router) for newer products, Node.js and Express for services, Prisma and Drizzle over Postgres, Radix UI/shadcn and Tailwind for interfaces. Jest and Supertest cover the API layer, and every change to a production repo goes through code review, including an AI reviewer, before it merges.
We're a physician-owned software team, not a vendor guessing at requirements. Codana and MacroMate Pro are proven in daily clinical use before they're offered to anyone else, which is the same bar we hold external work to.
Outside healthcare, we've built a client and audit-management portal for an industrial services company: a Next.js and TypeScript application with role-based access, document workflows, and a Postgres backend on Neon, deployed on Vercel. We take on a limited number of these projects a year, with the same team and standards as our own products.
Interested in custom software work, or want to learn more about Codana or MacroMate Pro?
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