I built all of it: the matching engine, the trial ingest, the FHIR reader, a navigator case book, the clinic Console and the sponsor reporting. It runs on Python, FastAPI and PostgreSQL, hosted on AWS. It can also run fully offline on a clinic’s own machine, with notes read by a model on that machine’s hardware. It has been tested against the Epic and Oracle Health sandboxes, and everything runs on synthetic patients. No real patient data has ever touched it.