Powering health data interoperability.

We’re on a mission to liberate closed silos of health data. We build open source developer tools for health care standards like FHIR with modern languages and frameworks.

Read our open letter on health data

We develop health data interoperability tools


Open FHIR Toolchain

Coming Soon

Automate Medical is building a TypeScript toolchain for FHIR from scratch. Soon, we will publish open sourced TypeScript definitions for all of the major versions of FHIR, validation tools, and ultimately a fully featured open source FHIR server.

Join the launch waitlist


PFT Extractor

We independently developed a PFT (pulmonary function test) to FHIR Resource processing pipeline. PFT Extract is built to be cloud-native and is written in TypeScript - we use AWS Textract to OCR PFTs in their PDF format, automatically code LOINC-based medical data out of them, and translate them into FHIR Resources in JSON.

We passionately believe in making PFTs interoperable. We want to hear from public health authorities, chief medical officers, and pulmonary departments who are interested in the same thing.

Let's talk PFTs

Open Source Reference
Values for PFTs

gli2012 Open

A TypeScript implementation of Global Lung Function Initiative's multi-ethnic reference values for spirometry for the 3–95-yr age range.

gli2017 Open

A TypeScript implementation of Global Lung Function Initiative's reference values for the carbon monoxide transfer factor for Caucasians.

Advisory Board

Carl Mottram


Eric Ries

Eric Ries is an entrepreneur and the author of the New York Times bestseller The Lean Startup, which has sold over one million copies and has been translated into more than thirty languages. He is the creator of the Lean Startup methodology, which has become a global movement in business, practiced by individuals and companies around the world. Eric has also founded a number of startups and advises on business and product strategy for startups, venture capital firms, and Fortune 500 companies. Eric has served as an entrepreneur-in-residence at Harvard Business School, IDEO, and Pivotal, and he is the founder and CEO of the Long-Term Stock Exchange.

Carl Mottram


Carl Mottram

Author of Ruppel's Manual of Pulmonary Function Testing, the most widely sold textbook in medical schools on the topic of pulmonary diagnostics. Dr. Mottram is the Director of the Mayo Clinic Pulmonary Function Laboratories and Pulmonary Rehabilitation Program and is an Associate Professor at the Mayo Clinic in Rochester, Minnesota. Dr. Mottram has published numerous abstracts, articles, and book chapters, and has given hundreds of lectures at national and international meetings on the topic of pulmonary function tests.

Meghan Marmor


Dr. Meghan Marmor

Dr. Marmor is a Clinical Assistant Professor of Medicine in the department of Pulmonary, Allergy and Critical Care Medicine at Stanford University and a clinical educator of medical students, residents, and fellows on the topic of Pulmonary Function Tests. Dr. Marmor serves as a member of the Stanford COVID-19 Critical Care Task Force, has written multiple COVID protocols for Stanford’s ICUs, and currently leads the Stanford Chest Clinic COVID-19 response team. Dr. Marmor is also a published researcher whose work has appeared in multiple journals including CHEST, the leading journal in clinical pulmonology.

Nicholas Mark


Dr. Nicholas Mark

Pulmonary and critical care physician, medical educator, and entrepreneur who previously served as Medical Director at KenSci, founded OnePage ICU, and co-founded Sound Life Sciences. Dr. Mark currently serves as a pulmonary and critical care physician within Seattle's best ranked hospital network, Swedish. Dr. Mark has deep experience with the use of machine learning to solve healthcare problems and has published widely on this topic. Dr. Mark’s project, ICU OnePager is a widely read and respected medical education website which disseminates concise, open-access summaries of topics in pulmonary and critical care medicine.

Jeremy Road


Dr. Jeremy Road

Co-Author of Pulmonary Function Tests in Clinical Practice, one of the leading textbooks explaining the key information obtained from lung volume measurement and the understanding of PFTs within modern diagnostics. Dr. Road is a Professor, Division of Respiratory Medicine and a Respirologist at Vancouver Hospital and UBC. Dr. Road is currently Chair of the Canadian Thoracic Society Research Committee, and Medical Director of the Provincial Respiratory Outreach Program and the Vancouver Hospital Lung Function Laboratory. Currently, Dr. Road is the Division Head of the VGH Division of Respiratory Medicine.

Pearce Wilcox


Dr. Pearce Wilcox

Co-author of Pulmonary Function Tests in Clinical Practice, one of the leading textbooks explaining the key information obtained from lung volume measurement and the understanding of PFTs within modern diagnostics. Dr. Wilcox is the Medical Director of Providence Pulmonary Function Laboratories, the largest PFT lab in British Columbia serving Vancouver and the surrounding suburbs. Dr. Wilcox also serves as the Program Coordinator for the Canadian Thoracic Society Annual Meeting.

Matt Hegewald


Dr. Matt Hegewald

Pulmonologist and Assistant Professor at Intermountain Medical Center, widely published researcher on use of spirometry based lung disease analysis by primary care physicians, diagnosis of airway obstruction across racial groups and software aided interpretation of pulmonary function tests. Dr. Hegewald is on the American College of Chest Physicians’ Live Learning and Education SubCommittee as well as a member of the CHEST Pulmonary Physiology, Function, and Rehabilitation Network.

Meet the Team

Andrew Arruda


Andrew Arruda

Co-founder/CEO ROSS Intelligence (YC S15), managed 60+ people, raised $16.5M. Forbes 30 under 30, TED speaker on enterprise software automation, helped lead the policy development for one of the world's largest COVID-19 ML government response initiatives.



Joshua Kelly

CTO and employee #1 of Universe, successfully exited to Live Nation Entertainment. Managed & led team of 35 post-acquisition across 3 offices. YC W20 founder, Full stack software developer, open-source contributor.

Thomas Hamilton


Thomas Hamilton

VP, Strategy & Operations and employee #1 of ROSS Intelligence, led sales, marketing, CS, and growth. Former regulatory & corporate lawyer at Dentons.

Contact Us

If you're an academic, clinical researcher, med student, resident, fellow, biostatistician, developer, or just a health data enthusiast - we’d love to talk with you!

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