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GozVision

The Enterprise AI Copilot & Practice Operating Platform for Eye Care (Optometry & Ophthalmology)

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https://gozvision.vercel.app

Production

HL7 FHIR R4 & SMART on FHIR

EHR Interoperability

Optometric OLD CARTS Engine

Clinical Scribe

RTM CPT 98975 / 98980 / 98981

CMS Reimbursement

OpenCV 5.0 CLAHE & Glare Shield

Edge Vision Pipeline

Executive Architectural Overview

End-to-end multi-tenant clinical intelligence and assistive visual copilot platform bridging in-clinic encounter efficiency with between-visit patient autonomy. Unifies four previously fragmented healthcare domains under one architecture: Optometric Ambient Scribing with structured OLD CARTS history, bidirectional HL7 FHIR R4 EHR interoperability (Epic, Eyefinity, RevolutionEHR, ModMed), practice commerce via Bachs instant bank payouts and Stripe POS, and continuous between-visit patient care via edge OpenCV 5.0 contrast/glare attenuation and automated CMS RTM billing (CPT 98975/98980/98981).

Core Architectural Accomplishments

Architected dual-surface enterprise eye care operating platform spanning Goz Clinic Suite (/clinic) and Goz Patient Copilot (/patient) in Flutter 3.47 CanvasKit/Wasm with Supabase PostgreSQL 16 multi-tenant RLS.

Engineered Optometric Ambient Scribe Studio with structured OLD CARTS clinical case history extraction, physical paper form digitizer, and air-gapped on-device WebGPU AI vs. HIPAA BAA cloud switcher.

Built bidirectional HL7 FHIR R4 & SMART on FHIR interoperability gateway synchronizing intraocular pressure (IOP), visual acuity, and clinical encounters across Epic Systems, Eyefinity, RevolutionEHR, and ModMed.

Implemented edge OpenCV 5.0 vision pipeline with Adaptive LAB CLAHE contrast, specular glare shield, automated CMS RTM billing (CPT 98975/80/81), FastMCP server (/mcp), and Bachs instant bank payouts.

Deterministic Guarantees

Concurrency Model

PostgreSQL 16 multi-tenant RLS isolation (clinic_id/doctor_id), PostGIS emergency routing, immutable FHIR AuditEvent logs.

AI & Protocol Layer

HL7 FHIR R4, FastMCP (spec 2025-11-25+), OpenCV 5.0 edge CV, Gemini Multimodal Live, Air-Gapped WebGPU.

Database & Infrastructure

Supabase PostgreSQL 16, AWS CloudFront TLS 1.3 Edge CDN, AWS Amplify, Amazon ECS Fargate, Amazon S3/SES.

SUBSYSTEMS • ARCHITECTURAL MODULES

Integrated System Components

MODULE 01

Goz Clinic Suite & Ambient Scribe Studio

Real-time optometric encounter recording with structured OLD CARTS case history generation, physical paper intake form digitization, and air-gapped WebGPU local AI vs. signed HIPAA BAA cloud inference switcher.

MODULE 02

HL7 FHIR R4 EHR Interoperability Hub

Bidirectional SMART on FHIR OAuth 2.0 PKCE gateway syncing Patients, Encounters, Observations (IOP, Visual Acuity OD/OS), DiagnosticReports, and DocumentReferences across Epic Systems, Eyefinity, RevolutionEHR, ModMed EMA, and Compulink.

MODULE 03

Goz Patient Copilot & Dual-Mode Engine

High-contrast PWA toggling between Low-Vision Assist (voice-first, OpenCV 5.0 video contrast filter, spatial hazard alerts, encrypted caregiver SOS) and Clinic Companion (drop adherence, post-op summaries, Bachs 1-tap optical reorders).

MODULE 04

Edge OpenCV 5.0 Computer Vision Pipeline

Client-side video stream processing utilizing Adaptive LAB CLAHE for contrast-deficient corneas, specular glare attenuation for photophobia, and morphological reading-zone isolation.

MODULE 05

Practice Commerce, POS & CMS RTM Engine

Automated CMS Remote Therapeutic Monitoring claim generator for CPT 98975/98980/98981, paired with dual-rail Bachs FedNow/RTP payouts, Stripe Connect front-desk POS, and multi-purpose acrylic QR signage stands.

PRODUCTION STACK • VERIFIED

Technology Architecture Matrix

Frontend & Runtime

Flutter 3.47 (WebAssembly & CanvasKit PWA)
Goz Clinic Suite B2B (/clinic)
Goz Patient Copilot B2C (/patient)
WCAG 2.2 Level AAA High-Contrast Obsidian System
Plain-English Accessible Layperson Terminology Layer

DB & Concurrency

Supabase PostgreSQL 16 with Multi-Tenant RLS (clinic_id, doctor_id isolation)
PostGIS Geolocation Emergency SOS Routing
Realtime WebSocket Telemetry & Presence
Amazon S3 Encrypted Form Scans
AWS CloudFront TLS 1.3 Edge CDN

AI & Realtime

Ambient Scribe Studio (Optometric OLD CARTS Case History)
OpenCV 5.0 Edge CV (Adaptive LAB CLAHE & Photophobia Glare Attenuation)
Air-Gapped Local WebGPU AI vs. Cloud HIPAA BAA Zero-Retention Switcher
Multimodal Live Gemini 3.8 / 2.5 Flash Audio Streams
Physical Paper Form Digitizer (AI Layout Analysis & Digital Replica)

Payments & Protocols

FastMCP Model Context Protocol (spec 2025-11-25+ at /mcp)
HL7 FHIR R4 & ONC USCDI v3 (Epic, Eyefinity, RevolutionEHR, ModMed)
CMS RTM Remote Therapeutic Monitoring Engine (CPT 98975, 98980, 98981)
Bachs E-Commerce API (1-Tap Optical Checkout & FedNow/RTP Bank Payouts)
Stripe Connect Multi-Tenant Front Desk POS & Acrylic QR Signage Stands

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