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ARIA — Adaptive Risk Intelligence for Acute Care

Klinische Entscheidungsunterstützung, entwickelt für Pflegekräfte.

Status Next.js TypeScript Tailwind License


Vision

ARIA is a clinical decision support system (CDSS) built from the ground up for the people who carry the load in acute and intensive care: nursing staff. The platform continuously consolidates vital signs, lab results, and nursing context into explainable risk scores and prioritized recommendations — surfacing clinical deterioration earlier, reducing documentation burden, and keeping clinical authority where it belongs: with the human at the bedside.

Existing CDSS tools (Epic Sepsis Watch, Bayesian Health, Sana AI) are designed around physician workflows and reach nursing acceptance rates below 40 %. ARIA closes that structural gap. Three explicit goals: early warning of clinical deterioration with a measurable lead time (median 4 hours ahead of standard scores), 15–25 % reduction in documentation-driven nursing workload, and per-datapoint explainability — a precondition for both clinical adoption and MDR certification.

Core Features

Feature What it does
Risk-prioritized ward dashboard All patients of the shift, sorted by clinical urgency
Live vital monitoring Trend curves from wearables and EHR, ~30 s refresh
Explainable AI recommendation Recommendation plus top-3 weighted factors (SHAP)
SBAR handover assistant Auto-generated shift handover from longitudinal data
Anomaly detection Subtle deviations from a patient's personal baseline
Audit trail Append-only log with hash-chain for full traceability

Tech Stack

Layer Stack Status
Frontend Next.js 16 (App Router), React 19, TypeScript strict, Tailwind v4 In MVP
Backend (core) Node.js + Fastify, OpenAPI-generated clients Planned
Backend (ML) Python + FastAPI, ONNX Runtime, MLflow Planned
Database PostgreSQL (Neon EU), Redis, Object Storage (Hetzner) Planned
ML stack XGBoost (risk), Temporal Fusion Transformer (forecast), German Medical BERT (NLP) Planned
Interop HAPI FHIR R4 gateway, HL7 v2.5, MQTT for bedside sensors Planned
Hosting Vercel (frontend, EU regions) + Hetzner Cloud Falkenstein (backend, GPU) Planned
Auth Auth.js + Microsoft Entra ID (clinic AD integration) Planned

Full rationale and architectural decisions: see docs/ARCHITECTURE.md.

Quickstart

git clone https://github.com/Orouji-Mo7/aria-platform.git
cd aria-platform
npm install
npm run dev

The dev server starts on http://localhost:3000.

Production build:

npm run build
npm run start

⚠ Status

MVP — frontend only. This repository currently ships the dashboard shell with synthetic data only. There is no real patient context, no EHR integration, no live ML pipeline, and no certified medical-device functionality. ARIA is not approved as a medical product and must not be used for clinical decision-making.

Roadmap, certification path (CE Class IIa under MDR), data architecture, and security model are documented in docs/ARCHITECTURE.md.

Documentation

  • docs/ARCHITECTURE.md — full technical architecture, product specification, business model, and roadmap (German)

Author

Mohammad Orouji
M.Sc. Digital Health Management — MSH Medical School Hamburg
Background: Pflegefachkraft (20+ years of clinical practice) · Fachinformatiker für Anwendungsentwicklung (IHK 2025)

ARIA is built on the conviction that clinical software for nurses should be designed by people who have stood at the bedside.

Connect: GitHub · LinkedIn

License

This project is released under a custom proprietary license — see LICENSE for full terms.

Code is publicly visible for transparency and academic review. Commercial use, redistribution, modification, or derivative works require prior written permission from the copyright holder.

Copyright © 2026 Mohammad Orouji. All rights reserved.

For licensing inquiries, please reach out via my GitHub profile or LinkedIn.

About

ARIA — Adaptive Risk Intelligence for Acute Care. Clinical decision support for nursing teams. Built with Next.js, TypeScript, FHIR R4.

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