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AI-Powered Precision Medicine & Health Navigation Platform

Designed FHIR R4-compliant data pipelines and a multi-agent LangGraph system to translate complex clinical records into plain-language, personalized treatment navigation for 500K+ medical records.

RoleSenior Full-Stack & AI Engineer
CategoryHealthcare & AI
DomainHealth-Tech, Precision Oncology, Generative AI

Tech Stack

Node.jsReactNext.jsFHIR R4LangChainLangGraphLLM IntegrationVector DatabasesAdvanced Batch ProcessingAWS

Project Overview

When patients receive a complex, life-altering medical diagnosis, they are typically met with dense, jargon-heavy health records, standard-of-care options built on population averages, and fragmented clinical data. Navigating this ecosystem manually is overwhelming for patients and care partners alike. The client needed an enterprise-grade, secure, and highly intelligent platform capable of ingesting unstructured, multi-source medical data, translating complex molecular biology into plain language, and cross-referencing patient-specific biomarkers against global clinical trials and research.

The Challenge

  • Challenge 01

    Ingesting unstructured, multi-source medical data including raw clinical notes and external EHR exports.

  • Challenge 02

    Translating complex molecular biology and clinical records into plain language patients can act on.

  • Challenge 03

    Simultaneously cross-referencing patient-specific biomarkers against vast libraries of global clinical trials and research to surface personalized treatment options.

Technical Implementation

High-Concurrency FHIR R4 Data Pipelines

To handle highly sensitive and structurally inconsistent healthcare data, I architected a robust data ingestion engine compliant with FHIR R4 standards. Implemented a high-concurrency batch processing architecture designed to handle large-scale record migrations (500K+ records) without dropping packets or stalling workflows. Built cleaning and enrichment pipelines that ingest messy health data, normalize it into standardized schemas, and prepare it for low-latency downstream querying.

Multi-Agent AI Workflows via LangGraph

Generic, single-prompt AI models frequently hallucinate or fail to capture nuanced relationships between diverse medical documents. Built a stateful, multi-agent conversational system leveraging LangGraph and LangChain with specialized autonomous agents—one parses unstructured clinical notes for precise biomarkers, another extracts medical history, and a third synthesizes patient inquiries. This separation guarantees highly accurate, contextual, and hallucination-free outputs.

Automated Clinical Trial & Biomarker Matching

Engineered high-performance, asynchronous background jobs that continuously query vector databases housing the latest medical literature and active global clinical trials. The system automatically cross-references a patient's extracted biomarkers and clinical history against trial criteria, dynamically surfacing highly specialized therapeutic options that standard care pathways might overlook.

Key Achievements & Impact

  • Impact 01

    Successfully deployed a system capable of smoothly processing and indexing 500,000+ medical records via concurrent batch architecture.

  • Impact 02

    Delivered an intuitive dashboard allowing patients and care partners to generate tailored, plain-language question lists to advocate for themselves during doctor visits.

  • Impact 03

    Ensured all data pipelines, cloud infrastructure (AWS), and real-time state synchronizations adhered strictly to healthcare security mandates.

Key Takeaways

This project highlighted the immense potential of moving past traditional RAG patterns into fully agentic workflows. By combining strict healthcare data compliance (FHIR R4) with state-managed AI orchestration (LangGraph), we proved that complex, sensitive data can be turned into safe, empathetic, and life-changing user clarity.

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© 2026 Sahil Bhanvadiya. All rights reserved.